Právní předpis byl sestaven k datu 31.08.2012.
Zobrazené znění právního předpisu je účinné od 15.09.2009 do 31.08.2012.
Vyhláška o předcházení emisím regulovaných látek a fluorovaných skleníkových plynů
279/2009 Sb.
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ŽÁDOST X XXXXXXXX XXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXX XXX NÁHRADĚ XX XXXXXX
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Xxxxx o xxxxxxxx
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Xxxxxxx - fyzická xxxxx vyplní
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Příjmení
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Jméno
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Datum narození
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Státní xxxxxxxxxxx
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Xxxxx x xxxxxxxxxx xxxxxxx požární xxxxxxx
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Xxxxx xxxxxxxxx (ks)
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Označení xxxxxx
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Xxxxxxx xxxxx (xx)
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Xxxxx x xxxxxxxx xx xxxxxxxx hydrochlorfluoruhlovodíkem (XXXX)
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Xxxxxxxx XXXX Celková xxxxx XXXX (xx)
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Xxxxxxxxxxx xxxxxx
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Datum xxxxxx xxxxxxxx
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Xxxxxxxx povolení xx
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Xxxxxx zneškodnění halonů:
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Dne: .............................................. Xxxxxx xxxxxxxxx xxxxx: ..............................................
(xxxxxxx)
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Xxxxxxxx (xxxxx x xxx přílohy x. 2, 3 x 4):
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Registrační xxxxx
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Xxxxxxxxxxxxx osoby
pro kontrolu xxxxx
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Xxxxxxx - xxxxxxxxx
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Xxx xxxxxxxx
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Xxxxx****) xxxx xxxxx**) provozovatele zařízení
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Adresa*) xxxxxxxxxxxxx xxxxxxxx
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Xxxxxxxxx xxxxx xxxxxxxxxxxxx xxxxxxxx
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Xxxxxxxxx xxxxx xxxxxxxx
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Xxxxxxx - xxxxxxxxx xxxxxxxx
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Xxxxxxxxx xxxxx xxxxxxxx
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Xxx xxxxxx
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Xxxx xxxxxxxx / xxxxxx / xxxxxxxx
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Xxxx oleje / xxxxxxxx
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Xxxxxxxxxxxx evidenční xxxxx zařízení
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Přidělené číslo xxxxxxxxx xxxxx xxxxxxxx
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Xxxxx xxxxxxxx evidenční xxxxx / xxxxxxxx xxxxxxxxx xxxxx zařízení
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Certifikovaná xxxxx xxx kontrolu úniků - xxxxx
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Xxxxxxxxxxx číslo xxxxxxxxxxxxx osoby xxx xxxxxxxx xxxxx
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Změny, xxxxxxx a xxxxxxxx xxxxxxxx se xxxxxx 1:
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Xxxxx o xxxxxxxxxx xxxxxxx xx předchozí xxxxxxxxx xxxxx:
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Xxxxxxxxx xxxxx xxxxxxxxx xxxxxxxxx xxxxx xxxxxxxx; xxxxx jejího xxxxxxx; xxxxx, jméno; xxxxxxxxxxx xxxxx a xxxxxx xxxxxxxxx xxxxxxxx, xxxxx záznam provedl.
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Údaje x xxxxxxxx xxxxxxx xx xxxx xxxxxxxxx xxxxx xxxxxxxx:
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Xxxxx ukončení; xxxxxxxxx xxxxx xxxx xxxxxxxxx xxxxx xxxxxxxx; xxxxx, xxxxx; xxxxxxxxxxx xxxxx a xxxxxx xxxxxxxxx xxxxxxxx, xxxxx xxxxxxxx provedl.
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Xxxxx
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Xxxxxxxxxxxx xxxxx
(xxxxxxxxxxxx xxxxx nebo xxxxx x xxxxxxxxx xxxxxx)
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Xxxxx o xxxxxxxxx xxxxxxxx
(xxxxxx xxxxxx xxxxxx)
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Xxxxxxxx / xxxxxx / xxxx
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(xx)
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(xx)
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OZNÁMENÍ X XXXXX XXXXXXX XXXXXXX XXXXXXX X XXXXXXXX XXXXXXXXX X XXXXXX X XXXXXXXX XXXXXX X XXXX XXXXXXXXXX xxxxx §28 xxxx. 3 zákona
Strana 1.
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Xxxxx xxxxxxx xxxxxxx xxxxxxx x hasicích xxxxxxxxx x halony, xxxxxxxx xxxxxx v xxxx xxxxxxxxxx x odhad xxxxx halonů
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typ a xxxxx xxxxxxxxx
(Xxx xxxxxx x xxxxxxxx xxxxxxx x. 3)
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množství xxxxxx (xx)
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(xx)
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X-1301/2
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X-1301/3
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X-1301/4
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X-1301/8
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X-1211/1
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X-1211/2
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X-2402/1
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Xxxxxxxx xxxxxxxxxxxx halonů xxx xxxxxxxx xxxxxxx (xx):
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XXXXXXXX X XXXXX XXXXXXX POŽÁRNÍ XXXXXXX X HASICÍCH XXXXXXXXX X XXXXXX A XXXXXXXX XXXXXX X XXXX XXXXXXXXXX xxxxx §28 odst. 3 xxxxxx
Xxxxxx 2.
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Xxxxxx k vyplnění xxxxxxx x. 3
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XXXXXX X XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXXX PLYNŮ A XXXXXXXXXXXX LÁTEK (XXXXXXX XXXX PŘEDÁNÍ Z XXXX XX XXXXXX XXXXXXXXX STÁTU XX, XXXXXXXXXXX, XXXXXXXXXXXX, XXXXXXXXX, XXXXXXXXXX X XXXXXXXXXXX)
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Tel.
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Fax
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E-mail
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Certifikát
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Číslo xxxxxxxxxxx
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xx xxx
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X roce ....... xx xxxxxx xxxxxx x xxxxxx xxxxxxxxxx
□ xxxxxxx xxxxxxxxxxxx skleníkových xxxxx z xxxxxx xxxxxxxxx xxxxx XX
□ xxxxxxx fluorovaných xxxxxxxxxxxx xxxxx xx xxxxxx xxxxxxxxx xxxxx EU
□ xxxxxxxxxxx xxxxxxxxxxxx skleníkových xxxxx
□ xxxxx uvedení xx xxx xxxxxxxxxxxx xxxxx
□ xxxxxxxxxxxxxx xxxxxxxxxxxx xxxxx
□ xxxxxxxxxxxxxx xxxxxxxxxxxx xxxxx při xxxxxxxxx xxxxxxx
□ recyklace xxxxxxxxxxxx xxxxx
□ xxxxxxxxxx regulovaných xxxxx
□ zneškodnění xxxxxxxxxxxx xxxxx
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Xxx .....................................................
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Podpis xxxxxxxxx xxxxx:
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(xxxxxxx)
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Vyplňuje xxxxx, která získala xx xxxxx z xxxxxx členského xxxxx Xxxxxxxx unie více xxx 100 xx xxxxxxxxxxxx xxxxxxxxxxxx xxxxx
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Xxxxxxxxxx xxxxxxxxxx xxxx (označení, xxxxxx)
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Xxxxxxxx množství (kg)
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Členský xxxx XX
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Xxxxxxxx osoba, xxxxx xxxxxxx xxxxx do xxxxxx členského xxxxx Xxxxxxxx xxxx více xxx 100 xx xxxxxxxxxxxx skleníkových plynů
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Fluorovaný xxxxxxxxxx xxxx (xxxxxxxx, xxxxxx)
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Xxxxxxxx množství (kg)
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Členský xxxx XX
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Xxxxxxxx xxxxx, xxxxx xxxxxxxxxxx xxxx než 100 xx xxxxxxxxxxxx xxxxxxxxxxxx xxxxx
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Xxxxxxxxxx xxxxxxxxxx xxxx (označení, xxxxxx)
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Xxxxxxxxxxx xxxxxxxx (kg)
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Převzato od:
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Xxxxxxxx osoba, xxxxx uvedla xxxxxx xx trh x XX regulované xxxxx
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Xxxxxxxxxx xxxxx (označení, vzorec)
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Množství xxxxxxx na xxx (xx)
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Xxxxxxx od:
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Xxxxxxxxxx látka (označení, xxxxxx)
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Xxxxxxxxxxxx množství (kg)
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Způsob xxxxxxx xxxxxxxxx:
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Xxxxxxxx xxxxx, která xxxxxxxxxxx xxxxxxxxxx xxxxx
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Xxxxxxxxxx xxxxx (xxxxxxxx, vzorec)
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Recyklované xxxxxxxx (xx)
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Xxxxxx xxxxxxx xxxxxxxxx:
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Xxxxxxxx xxxxx, která regenerovala xxxxxxxxxx xxxxx
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Xxxxxxxxxx látka (xxxxxxxx, vzorec)
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Regenerované xxxxxxxx (xx)
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Xxxxxx xxxxxxx xxxxxxxxx:
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a) otevření xxxxxxxxxx okruhu a xxxxxx xxxxxxxxxxxx látek, xxxxxxxxxxxx skleníkových xxxxx x xxxxx z xxxxx xxxxxxxxxx xxxxxx (xxxxxx X),
x) xxxxxxxx xxxxxxxx xxxxxxx-xxxxxxxxxx xxxxxxxxx x xxxxxxx xxxxxxxxxxxx xxxxx x xxxxxxxxxxxx xxxxxxxxxxxx plynů, jiných xxxxxxxxx, částí zařízení, xxxx. xxxxxxxxxxxxx součástí x xxxxx xxxxxxxxxx xxxxxxxx, vždy za xxxxxx vhodných technických xxxxxxxx x xxxxx xxxxxxxx xxxxxxxxxxxx xxxxx xxx, aby xxxxxxx x jejich úniku xx ovzduší (xxxxxx XX), jakož x
x) xxxxxxxxx x xxxxxxxxxxx xxxxx získaných v xxxxx xxxxxx X x xxxxxx XX, xxxxx xxxxxx xxxxxxxx xxx xxxxx xxxxxxx x zneškodnění.
Xxxxxx xxxxxxxx xxxx xxxxxxxx činnosti
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Xxxxx
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Xxxx ......*)
Médium xxxxxxxxxx xxxxxx
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Xxxxx
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Xxxxxxxx materiál
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Počet
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Freon
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Polyuretan x xxxxxxx
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Xxxxxxx
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&xxxx; | &xxxx;
Xxxxxxxxxx bez xxxxxx
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Xxxxxxxx xxxxxxxxx
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Xxxxxx xxxx/Xxxxxxxx
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Xxxx xxxxxxxxx
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Xxxxx
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Xxxxxxxx
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Xxxxxxxx xxxxx
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Xxxxx
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xxxxx (bez xxxxxxxx)
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Xxxxxxxxx
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Xxxxx
----------------------
xxxxx (bez chladiva)
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Poškozená xxxxxxx
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&xxxx;
&xx; 10 %
----------------------
&xx; 50 %
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Xxxxxxxx:
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Datum:
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Místo xxxxxxx:
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Xxxxxxx xxxxxxx:
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Xxxxx xxxxxxx:
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Xxxxxxxxx:
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Xxxxxxx xxxxx xxxxxxxxxx xxxxxxxx
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1000 xx
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Xxxxx xxxxxxx xxxxxxxx
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Xxxxx xxxxxxxx x xxxxxxxxx
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Xxxxx xxxxxxxx s xxxxxxxxxxxx xxxxxxx
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Xxxxx xxxxxxxx x xxxxxxxxxxxx xxxxxxxxxxxx xxxxx
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Xxxxx xxxxxxxx s xxxxxxxx xxxxxxx
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Xxxxxxxx xxxxxxxxxxxx látek/Zařízení
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Hmotnost xxxxxxxxx láhví
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kg
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g/ks
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Hmotnost xxxxxxxxxx xxxxx
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&xxxx;
xx
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x/xx
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Xxxxxxxx regulovaných xxxxx x xxxxxxxxxxxx xxxxxxxxxxxx xxxxx xxxxxx
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&xxxx;
xx
|
&xxxx;
x/xx
|
||
| &xxxx; | &xxxx; | &xxxx; | ||
| &xxxx;
Xxxxx:
|
&xxxx; | |
| &xxxx;
Xxxxx xxxxxxx:
|
&xxxx; | |
| &xxxx;
Xxxxxxx xxxxxxx:
|
&xxxx; | |
| &xxxx;
Xxxxx zkoušky:
|
||
|
Kontrolor:
|
||
|
Počet xxxxxxxx s izolací xxxxxxxxxxx
|
&xxxx;
1000 xx
|
|
| &xxxx;
Xxxxxxxxxxx zařízení
|
|
|
|
Počet xxxxxxxx s polyuretanem, xxx 1
|
&xxxx;
xx
|
|
| &xxxx;
Xxxxx xxxxxxxx x polyuretanem, typ 2
|
&xxxx;
xx
|
|
| &xxxx;
Xxxxx zařízení s xxxxxxxxxxxx, typ 3
|
ks
|
|
|
|
||
|
Teoretická xxxxxxxxx hodnota na xxxxx xxxxxxxx
xxx xxxx xxxxxxxxx xxxxxxxx (= xxxxxxxxxx / xxxxxxx xxxxx xxxxxxxx) x XXX-11/xxxxxxxx
|
||
| &xxxx;
Xxxxxxxx xxxxxxx xxxxxxxx Xxxxxxxx množství
|
Zkoušené množství/zařízení
|
|
|
Hmotnost xxxxxxx xxxxxx na XXX-11 xx
|
&xxxx; | |
| &xxxx;
Xxxxxxxx naplněné xxxxxx xx
|
&xxxx; | |
| &xxxx;
Xxxxxxx xxxxxxxx XXX-11 netto xx
|
&xxxx;
x/xxxxxxxx
|
|
| &xxxx; | &xxxx; | |