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 FILE    DATE          LOCATION          AIRCRAFT DATA       INJURIES       FLIGHT                        PILOT DATA
                                                               F  S M/N     PURPOSE
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3-4121   69/10/2   BARRETVILLE,TENN    GRUMMAN 164A        CR-  0  0  1  COMMERCIAL                COMMERCIAL, AGE 30, 5074
        TIME - 1340                    N5289               PX-  0  0  0  AERIAL APPLICATION        TOTAL HOURS, 2400 IN
                                       DAMAGE-SUBSTANTIAL  OT-  0  0  0                            TYPE, INSTRUMENT RATED.
        NAME OF AIRPORT - SHELBY CO.
        DEPARTURE POINT             INTENDED DESTINATION
         UNKNOWN/NOT REPORTED         LOCAL
        TYPE OF ACCIDENT                                         PHASE OF OPERATION
           ENGINE FAILURE OR MALFUNCTION                            IN FLIGHT: SWATH RUN
           NOSE OVER/DOWN                                           LANDING: LEVEL OFF/TOUCHDOWN
        PROBABLE CAUSE(S)
           PERSONNEL - MAINTENANCE,SERVICING,INSPECTION: INADEQUATE MAINTENANCE AND INSPECTION
           POWERPLANT - FUEL SYSTEM: CARBURETOR
           MISCELLANEOUS ACTS,CONDITIONS - LOOSE,PART/FITTING
           POWERPLANT - ENGINE STRUCTURE: VALVE ASSEMBLIES
           MISCELLANEOUS ACTS,CONDITIONS - BURNED
           TERRAIN - HIGH VEGETATION
        COMPLETE POWER LOSS - COMPLETE ENGINE FAILURE/FLAMEOUT-1 ENGINE
        EMERGENCY CIRCUMSTANCES - FORCED LANDING OFF AIRPORT ON LAND
         SPECIAL DATA
          TOTAL HOURS IN CROP CONTROL - 5006                       KIND OF OPERATION - SPRAYING CROPS
          KIND OF CROP - COTTON                                    TYPE OF CHEMICAL USED - LIQUID CHEMICAL-NONTOXIC
          PILOT' S SEAT BELT -FASTENED-PROPERLY                    GLOVES - NOT USED
          GOGGLES - NOT USED                                       CRASH HELMET - AVAILABLE USED
          COCKPIT CRASHPAD - NOT INSTALLED                         CRASH BAR - INSTALLED
          TANK/HOPPER-LOCATION - FORWARD OF PILOT                  TERRAIN-TYPE -LEVEL,FLAT
          ELEVATION-AREA BEING TREATED-FEET -  160                 SWATH RUN-HOW FLOWN - CROSSWIND
        REMARKS- CARB TO ENG ADAPTER LOOSE,LEANED MIXTURE,BURNED VALVES. LND IN SOY BEAN FLD.

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