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 POUŽITÍ XXXXXXXXXXXXXXXXXXXXXXXXX XXX XXXXXXX XX HALONY
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Údaje o xxxxxxxx
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Státní xxxxxxxxxxx
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Xxxxxxx - právnická xxxxx vyplní
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Název x xxxxxx forma**)
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Adresa*)
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Xxxxx instalací (ks)
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Označení xxxxxx
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Xxxxxxx xxxxx (xx)
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Xxxxxxx xxxxxxx
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Xxxxx x zařízení xx xxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxx (XXXX)
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Číslo xxxxxxxx
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Xxxxxx xxxxxxxxxxx halonů:
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Dne: .............................................. Xxxxxx xxxxxxxxx xxxxx: ..............................................
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Xxxxxxxx (xxxxx x xxx přílohy x. 2, 3 x 4):
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pro kontrolu xxxxx
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Výrobce - xxxxxxxxx
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Xxx zařízení
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Rok xxxxxx
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Xxxxx****) xxxx xxxxx**) provozovatele zařízení
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Xxxxxxxxx číslo xxxxxxxxxxxxx zařízení
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Umístění xxxxxxxx
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Xxxxxxx - xxxxxxxxx zařízení
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Typ xxxxxxxx
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Xxx výroby
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Druh xxxxxxxx / xxxxxx / xxxxxxxx
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Xxxx xxxxx / množství
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Identifikace xxxxxxxxx xxxxx xxxxxxxx
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Xxxxxxxxx číslo xxxxxxxxx knihy xxxxxxxx
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Xxxxx xxxxxxxx evidenční xxxxx / xxxxxxxx xxxxxxxxx xxxxx xxxxxxxx
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Xxxxxxxxxxxxx xxxxx xxx xxxxxxxx xxxxx - jméno
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Registrační xxxxx xxxxxxxxxxxxx xxxxx pro xxxxxxxx úniků
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Xxxxx, xxxxxxx x xxxxxxxx xxxxxxxx xx strany 1:
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Xxxxx x xxxxxxxxxx xxxxxxx xx xxxxxxxxx xxxxxxxxx xxxxx:
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Xxxxxxxxx číslo xxxxxxxxx xxxxxxxxx xxxxx xxxxxxxx; místo jejího xxxxxxx; xxxxx, xxxxx; xxxxxxxxxxx xxxxx a xxxxxx xxxxxxxxx xxxxxxxx, xxxxx xxxxxx provedl.
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Údaje x ukončení xxxxxxx xx xxxx xxxxxxxxx xxxxx xxxxxxxx:
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Xxxxx xxxxxxxx; xxxxxxxxx xxxxx xxxx xxxxxxxxx xxxxx xxxxxxxx; xxxxx, xxxxx; xxxxxxxxxxx xxxxx a xxxxxx xxxxxxxxx technika, který xxxxxxxx provedl.
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Xxxxx x provedené xxxxxxxx
(xxxxxx popisu xxxxxx)
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Xxxxxxxx / hasivo / xxxx
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(xx)
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XXXXXXXX X POČTU XXXXXXX XXXXXXX XXXXXXX X XXXXXXXX PŘÍSTROJŮ X XXXXXX X XXXXXXXX XXXXXX X XXXX XXXXXXXXXX xxxxx §28 xxxx. 3 xxxxxx
Xxxxxx 1.
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Odpovědný xxxxxxxxx:
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xxx a xxxxx xxxxxxxxx
(Xxx pokyny x xxxxxxxx xxxxxxx x. 3)
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instalace (ks)
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množství xxxxxx (kg)
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odhad xxxxx
(xx)
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X-1301/1
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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-1301/6
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X-1301/8
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X-1211/2
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X-2402/1
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X-2402/2
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Xxxxxxxx xxxxxxxxxxxx halonů pro xxxxxxxx xxxxxxx (kg):
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Podpis xxxxxxxxx xxxxx:
Xxx ................................... .......................................................................
(xxxxxxx)
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XXXXXXXX O XXXXX XXXXXXX XXXXXXX XXXXXXX X XXXXXXXX PŘÍSTROJŮ X XXXXXX X XXXXXXXX XXXXXX X XXXX XXXXXXXXXX xxxxx §28 xxxx. 3 xxxxxx
Xxxxxx 2.
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Xxxxxxxx ke xxxxxxxxx emisí xxxxxx x odhad xxxxxx xxxxx:
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Xxxxxx x vyplnění xxxxxxx č. 3
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XXXXXX X XXXXXXXX FLUOROVANÝCH XXXXXXXXXXXX XXXXX X XXXXXXXXXXXX LÁTEK (XXXXXXX XXXX PŘEDÁNÍ X XXXX XX JINÉHO XXXXXXXXX XXXXX EU, XXXXXXXXXXX, XXXXXXXXXXXX, XXXXXXXXX, XXXXXXXXXX X XXXXXXXXXXX)
xxxxx §32 xxxx. 1 xxxxxx
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Xxxxxxxx - xxxxxxx osoba xxxxxx
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Xxxxxx příslušnost
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Stát
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Fax
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E-mail
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DIČ
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Uživatel - xxxxxxxxx osoba xxxxxx
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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 certifikátu
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X xxxx ....... xx podána zpráva x xxxxxx xxxxxxxxxx
□ xxxxxxx fluorovaných xxxxxxxxxxxx xxxxx x xxxxxx xxxxxxxxx státu EU
□ xxxxxxx xxxxxxxxxxxx xxxxxxxxxxxx xxxxx xx xxxxxx xxxxxxxxx xxxxx XX
□ xxxxxxxxxxx fluorovaných xxxxxxxxxxxx xxxxx
□ první xxxxxxx xx trh xxxxxxxxxxxx xxxxx
□ xxxxxxxxxxxxxx xxxxxxxxxxxx xxxxx
□ xxxxxxxxxxxxxx xxxxxxxxxxxx xxxxx při xxxxxxxxx xxxxxxx
□ recyklace xxxxxxxxxxxx xxxxx
□ regenerace xxxxxxxxxxxx xxxxx
□ zneškodnění regulovaných xxxxx
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Xxx .....................................................
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Xxxxxx oprávněné xxxxx:
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Vyplňuje xxxxx, která získala xx xxxxx x xxxxxx členského xxxxx Xxxxxxxx xxxx xxxx xxx 100 xx xxxxxxxxxxxx xxxxxxxxxxxx plynů
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Fluorovaný xxxxxxxxxx xxxx (xxxxxxxx, xxxxxx)
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Xxxxxxxx xxxxxxxx (xx)
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Xxxxxxx xxxx EU
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Xxxxxxxx xxxxx, která xxxxxxx xxxxx xx xxxxxx členského xxxxx Xxxxxxxx xxxx xxxx xxx 100 xx xxxxxxxxxxxx xxxxxxxxxxxx plynů
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Xxxxxxxx množství (xx)
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Xxxxxxxx xxxxx, xxxxx xxxxxxxxxxx více než 100 xx xxxxxxxxxxxx xxxxxxxxxxxx plynů
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Fluorovaný xxxxxxxxxx xxxx (označení, vzorec)
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Zneškodněné xxxxxxxx (xx)
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Xxxxxxxx xxxxxxx na xxx (xx)
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Xxxxxxxxxx xxxxx (xxxxxxxx, xxxxxx)
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Xxxxxxxxxxxx množství (kg)
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Způsob xxxxxxx xxxxxxxxx:
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Xxxxxxxxxx látka (označení, xxxxxx)
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Xxxxxxxx xxxxx, xxxxx recyklovala xxxxxxxxxx látky
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Regulovaná látka (xxxxxxxx, vzorec)
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Recyklované množství (xx)
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Xxxxxx xxxxxxx xxxxxxxxx:
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Xxxxxxxx xxxxx, která xxxxxxxxxxxx xxxxxxxxxx látky
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Xxxxxxxxxxxx xxxxxxxx (xx)
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a) xxxxxxxx xxxxxxxxxx okruhu x xxxxxx xxxxxxxxxxxx látek, xxxxxxxxxxxx xxxxxxxxxxxx xxxxx x xxxxx x xxxxx xxxxxxxxxx okruhu (xxxxxx X),
x) xxxxxxxx xxxxxxxx tepelně-izolačních xxxxxxxxx x xxxxxxx xxxxxxxxxxxx xxxxx a xxxxxxxxxxxx xxxxxxxxxxxx xxxxx, xxxxxx xxxxxxxxx, xxxxx xxxxxxxx, xxxx. xxxxxxxxxxxxx xxxxxxxx x prvků xxxxxxxxxx xxxxxxxx, vždy xx xxxxxx xxxxxxxx technických xxxxxxxx x xxxxx xxxxxxxx xxxxxxxxxxxx xxxxx xxx, aby nedošlo x xxxxxx xxxxx xx xxxxxxx (stupeň XX), jakož x
x) xxxxxxxxx a xxxxxxxxxxx xxxxx xxxxxxxxx x xxxxx xxxxxx X x stupně XX, xxxxx jejich příprava xxx xxxxx xxxxxxx x xxxxxxxxxxx.
Xxxxxx xxxxxxxx xxxx xxxxxxxx xxxxxxxx
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Xxxx ......*)
Xxxxxx 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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Xxxxxxxxxx xxx xxxxxx
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Xxxxxxxx xxxxxxxxx
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Xxxxxx xxxx/Xxxxxxxx
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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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&xx; 10 %
----------------------
&xx; 50 %
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Poznámka:
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Xxxxx:
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Xxxxx xxxxxxx:
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Xxxxxxx xxxxxxx:
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Xxxxx xxxxxxx:
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Xxxxxxx xxxxx xxxxxxxxxx xxxxxxxx
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1000 xx
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Xxxxx xxxxxxxx x xxxxxxxxx
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Xxxxx xxxxxxxx x xxxxxxxxxxxx xxxxxxx
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Xxxxx xxxxxxxx s xxxxxxxxxxxx xxxxxxxxxxxx xxxxx
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Xxxxx xxxxxxxx x dvojitým xxxxxxx
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Xxxxxxxx regulovaných xxxxx/Xxxxxxxx
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Xxxxxxxx xxxxxxxxx xxxxx
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x/xx
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Xxxxxxxx naplněných xxxxx
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x/xx
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Xxxxxxxx regulovaných xxxxx x fluorovaných xxxxxxxxxxxx xxxxx xxxxxx
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x/xx
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Datum:
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Místo xxxxxxx:
|
&xxxx; | |
| &xxxx;
Xxxxxxx zkoušky:
|
||
|
Konec xxxxxxx:
|
&xxxx; | |
| &xxxx;
Xxxxxxxxx:
|
&xxxx; | |
| &xxxx;
Xxxxx xxxxxxxx x xxxxxxx xxxxxxxxxxx
|
&xxxx;
1000 xx
|
|
| &xxxx;
Xxxxxxxxxxx zařízení
|
|
|
|
Počet xxxxxxxx x xxxxxxxxxxxx, xxx 1
|
&xxxx;
xx
|
|
| &xxxx;
Xxxxx xxxxxxxx x xxxxxxxxxxxx, xxx 2
|
&xxxx;
xx
|
|
| &xxxx;
Xxxxx xxxxxxxx x xxxxxxxxxxxx, xxx 3
|
&xxxx;
xx
|
|
| &xxxx; | &xxxx;
|
|
| &xxxx;
Xxxxxxxxxx xxxxxxxxx xxxxxxx xx xxxxx xxxxxxxx
xxx dané xxxxxxxxx xxxxxxxx (= xxxxxxxxxx / celkový xxxxx zařízení) x XXX-11/xxxxxxxx
|
||
| &xxxx;
Xxxxxxxx xxxxxxx xxxxxxxx Xxxxxxxx xxxxxxxx
|
&xxxx;
Xxxxxxxx xxxxxxxx/xxxxxxxx
|
|
| &xxxx;
Xxxxxxxx xxxxxxx xxxxxx na XXX-11 kg
|
||
|
Hmotnost xxxxxxxx xxxxxx kg
|
||
|
Celkové xxxxxxxx XXX-11 xxxxx kg
|
g/zařízení
|
|