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 FILE    DATE          LOCATION          AIRCRAFT DATA       INJURIES       FLIGHT                        PILOT DATA
                                                               F  S M/N     PURPOSE
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3-3508  69/11/11   ALTAVILLE,CALIF     AERONCA 11BC        CR-  0  1  0  NONCOMMERCIAL             PRIVATE, AGE 19, 143
        TIME - 1230                    N3991E              PX-  0  1  0  PLEASURE/PERSONAL TRANSP  TOTAL HOURS, 49 IN TYPE,
                                       DAMAGE-SUBSTANTIAL  OT-  0  0  0                            NOT INSTRUMENT RATED.
        NAME OF AIRPORT - KAY FOUNDATION
        DEPARTURE POINT             INTENDED DESTINATION
          ALTAVILLE,CALIF             ANGELS CAMP,CALIF
        TYPE OF ACCIDENT                                         PHASE OF OPERATION
           ENGINE FAILURE OR MALFUNCTION                            IN FLIGHT: OTHER
           GEAR COLLAPSED                                           LANDING: LEVEL OFF/TOUCHDOWN
        PROBABLE CAUSE(S)
           POWERPLANT - MISCELLANEOUS: POWERPLANT FAILURE FOR UNDETERMINED REASONS
        FACTOR(S)
           TERRAIN - ROUGH/UNEVEN
           MISCELLANEOUS ACTS,CONDITIONS - OVERLOAD FAILURE
        COMPLETE POWER LOSS - COMPLETE ENGINE FAILURE/FLAMEOUT-1 ENGINE
        EMERGENCY CIRCUMSTANCES - FORCED LANDING ON AIRPORT/SEAPLANE BASE/HELIPT.
        REMARKS- HAD PREVIOUSLY FUELED WITH 2.5 GALS PREMIUM AUTO GAS. FUEL ABD PRIOR TO REFUELING UNK.TANKS EMPTY.

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