Právní předpis byl sestaven k datu 30.01.2026.
Zobrazené znění právního předpisu je účinné od 01.01.2002.
1. xxxxxxxxxxxxxx xxxxxx v xxxx xxxxxxxxxxxxx xxxxxx včetně xxxxx xxxxxxx xxxxxxxx x vodní xxxxxxx xxxxx, xxxxxxxx pozorování xxxxxxxx xxxxxx x xxxxxxxxxxxxxxxx xxxxxxx v xxxx xxxxxxxxxxxx xxxxxx xxxxxxxxxx pro xxxxxxx xxxxxxxxx xxxxx x xxxxxx,
2. teplot xxxxxxx x dalších xxxxxxxxxxxxxxxx xxxxxxx (xxxx. xxxxxxxxx) xxxxxxxxx z xxxxxxxxxx x xxxx xxxxxxxxxxxx xxxxxx,
3. xxxxxxx xxxx xx xxxxxxx tocích x síti vodoměrných xxxxxx,
4. xxxxxx xxxxxxxxxx xxx x xxxx xxxxxxx podzemních xxx,
5. xxxxxxxxxx pramenů v xxxx sledovaných xxxxxxx;
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XXX XXXX
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Odběr xxxxxxxx xxxx
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xxxxx xxxxxx:
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xxxxx jímacího xxxxxxxx:
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xxxx xxxxxxxxxx xxxxxxxx:
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Xxxxxx xxxxx - sídlo xxxxxxxxx xxxxxxxx
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Xxxxxx pobyt - sídlo xxxxxxxxxxxxx:
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XX:
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XX:
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XXXX:
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XXXX:
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01
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Xxxxxxxxxxxxx xxxxx odběru xxxxxxxx xxxx
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02
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Xxxxx maticové číslo xxxxx toku
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Číslo xxxxxx xxxxx xxxx
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Xxxxx hydrologického xxxxxx
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Xxxxxxxxxxxxxxx xxxxx
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Xxxxx / Xxxx / Xxxxxxxxxxx xxxxx
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Xxxxx odebírané vody
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hlubinná
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mělká
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není xxxxx
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07
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Xxxxxx xxxxxxxxx xxxx
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xxxxxxxx
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xxxxxx xxxxx
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xxxxxx
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xxxx
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xxxxx
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xxxx zářez
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(vrt)
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Způsob xxxxxx xxxx
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xxx úpravy
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dezinfekce
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jiná
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Způsob xxxxxxxxx xxxxxx odběru
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měření
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výpočet
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odvození
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odhad
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Počet / Xxx / Xxxxxxxx xxxxxxxx zařízení x x/x
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Xxxxxxxxxx x povolení x xxxxxx xxxxxxxx xxxx
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xxxxx:
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xxx:
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xxx č.j.:
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platnost xx:
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x xxxxxxxx:________________ x/x
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_______________
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xxx. l/s
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________________tis.m3/měs
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_______________
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tis. x3/xxx
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xxx xxxx:
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Xxxxxxxxxx o xxxxxxxxx xxxxxxxxxx pásma xxxxxxx xxxxxx
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xxxxx:
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xxx:
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xxx xx.:
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Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxx x xxxxxx podzemní xxxx
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Xxx / Xx
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Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx o stanovení xxxxxxxxxx xxxxx xxxxxxx xxxxxx
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Xxx / Xx
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X xxxxxxx xx xxxxxxx xxxxx mapy k xxxxxxxxxx xxxxx xxxxxx
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Xxx / Xx
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Xxxxxxxx:
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Xxxxx:
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Xxxxxxx:
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Xxxxxxx x xxxxxx:
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Xxx:
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x-xxxx:
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Xxxxxxxxxxxxx číslo
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odběru podzemních xxx
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18
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xxxxxx 5 xxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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pro průtočné
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pro xxxxxxxxxx
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xxx
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xxx xxxxxxxxxx
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xxx průmyslovou
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pro xxxxxxxx
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XXX
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xxxxxx
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xxxxxxx
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xxxxxx
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(xxx. spotřebu)
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odběry
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PMV
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množství vody xxxxxx xxxxxxxxx xxxxxxxxx, xxx xxxxxxxx vody xxx úpravě x xxxx ztrát x xxxxxxxxx
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&xxxx; |
**) vyplní xxxxxxx xxxxxx
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Xxxxxxxx:
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- xxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxxxxxx:
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- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxx:
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- xxxxx xxxx xxxxxxxxxxx pracovníka;
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e-mail:
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e-mailová xxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxxxx:
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xxxxx xxxxxxxx xxxxxxxxx;
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Xxxxxxx a xxxxxx: xxxxxxx povinného subjektu, xxxxxxxx xxxxxxxxxxxxx a xxxxxx xxxxxxxxxxx pracovníka.
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xxxxxxxx
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XXX XXX 9297 (75&xxxx;7420), ČSN 830520-11
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xxxxxx
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XXX EN XXX 10304-1 (75&xxxx;7391)
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XXX ISO 9280 (75&xxxx;7476)
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xxxxxx xxxxx
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XXX XXX 7150-1,2 (75 7451)
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ČSN XX ISO 11732 (75&xxxx;7454)
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XXX ISO 5664 (75&xxxx;7449)
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xxxxxxxxx
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XXX ISO 7890-1,2,3 (75&xxxx;7453)
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XXXXXx
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xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxxxxxx
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XXX XX ISO 8467 (75 7519)
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měď
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ČSN ISO 8288 (75&xxxx;7382)
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XXX 830520-44
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kadmium
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ČSN XXX 8288 (75 7382)
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ČSN XX XXX 5961 (75&xxxx;7418)
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xxxxx
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XXX 830520-43
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ČSN ISO 8288 (75&xxxx;7382)
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xX
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XXX XXX 10523;
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XXX XXXX
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Odběr povrchové xxxx -
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xxxxx xxxxxx:
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xxxxx xxxxxx:
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xxxx xxxxxxxxxx činnosti:
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Trvalý xxxxx - sídlo xxxxxxxxx xxxxxxxx
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Xxxxxx xxxxx - xxxxx provozovatele:
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IČ:
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IČ:
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OKEČ:
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OKEČ:
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1
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Identifikační xxxxx xxxxxx povrchové xxxx
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02
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Xxxxx xxxxxxxx číslo xxxxx toku
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Číslo polohy xx xxxxx toku
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03
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Číslo xxxxxxxxxxxxxx xxxxxx
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Xxxxx xxxxxxx xxxx
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Xxxxx xxxxxxxx
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06
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Xxxx
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Xxxx
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Xxxxx
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Xxxxx
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Xxxxx/Xxxx/Xxxxxxxxxxx území
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Způsob xxxxxxxxx xxxxxx xxxxxx
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xxxxxx
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xxxxxxx
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xxxxxxxx
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xxxxx
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Xxxx xxxxxxxxx xxxxxxxx x x. x.x. (Xxxx xx xxxxxxxxx)
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Xxxxxxxxxx o xxxxxxxx x xxxxxx xxxxxxxxx xxxx
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xxxxx:
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xxx:
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xxxxxxxx do:
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pod x.x.:
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x xxxxxxxx:_______________ x/x
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____________________xxx. x/x
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_________xxx.x3/xxx
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____________________xxx. m3/rok
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pro xxxx:
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Xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxx xxxxxx
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xxxxx:
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xxx:
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xxx x.x.:
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Xxxxxx o přiložení xxxxxxxx xxxxxxxxxx o xxxxxxxx x xxxxxx xxxxxxxxx vody
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Ano/Ne
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Žádáme o xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxx zdroje
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Ano/Ne
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V xxxxxxx se xxxxxxx xxxxx xxxx x xxxxxxxxxx xxxxx odběru
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Ano/Ne
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Vyřizuje:
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Datum:
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Telefon:
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Razítko x xxxxxx:
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Xxx:
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x-xxxx:
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xxxxxx 5 xxx
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pro xxxxxxxxxx
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xxx
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xxx xxxxxxxxxx
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xxx xxxxxxxxxxx
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xxx xxxxxxxx
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(xxx. xxxxxxxx)
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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xxxxxxxx vody xxxxxx xxxxxxxxx xxxxxxxxx, xxx xxxxxxxx xxxx xxx xxxxxx a xxxx xxxxx v xxxxxxxxx
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Xxxxx
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Xxxxxxxx:
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- xxxxx odpovědného xxxxxxxxxx;
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Xxxxxxx:
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- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxx:
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- xxxxx xxxx odpovědného xxxxxxxxxx;
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x-xxxx:
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x-xxxxxxx xxxxxx xxxxxxxxxxx pracovníka;
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Datum:
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datum xxxxxxxx xxxxxxxxx;
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Xxxxx xxxxxx tiskopisu
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xxxxxxx xxxx
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XXX 75&xxxx;7342
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xX
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xxxxxx xxxx
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XXX XXX 10523 (75&xxxx;7365)
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xxxxxxxxxxxx
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XXX XX 27888
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XXX5
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xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxx
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XXX XX 1899 (75&xxxx;7517)
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XXXXXx
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xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxxxx
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XXX 830530-29
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X-XX4-
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xxxxxxxxxxx xxxxx
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XXX XXX 7150-1,2 (75&xxxx;7451)
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XXX XXX 5664 (75&xxxx;7449)
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XXX XXX 6778 (75&xxxx;7450)
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X-XX3-
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xxxxxxxxxxx xxxxx
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XXX ISO 7890-1,2,3 (75&xxxx;7453)
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Xxxxx
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xxxxxxx xxxxxx
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XXX XX 1189 (75 7465)
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ROK XXXX
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Xxxxxxxxxx xxxx -
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xxxxx xxxxxxxxxx:
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xxxxx xxxxxxxxxx:
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xxxx ekonomické xxxxxxxx:
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Xxxxxx xxxxx - xxxxx povinného xxxxxxxx
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Xxxxxx xxxxx - xxxxx xxxxxxxxxxxxx:
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XX:
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XX:
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XXXX:
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XXXX:
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Xxxxxxxxxxxxx xxxxx vypouštění xxxx
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Xxxxx xxxxxxxx číslo xxxxx xxxx
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Xxxxx xxxxxx xx xxxxx xxxx
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Xxxxx xxxxxxxxxxxxxx pořadí
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Název xxxxxxx xxxx
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Xxxxx kilometr
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Břeh
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Levý
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Střed
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Pravý
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Okres/Obec/Katastrální xxxxx
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Xxxxxx xxxxxxxxx množství vypouštěných xxx
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xxxxxx
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xxxxxxx
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xxxxxxxx
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xxxxx
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Xxxxxx xxxxxxxxx xxxxxx xxxxxxx xxxxxxxxxxxx xxx
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xxxxxx
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xxxxxxx
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xxxxx
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10
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Xxx xxxxxxx / Xxxxx xxxxxxx
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X
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X2
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X8
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X24
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X24x
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&xxxx; | |||||
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11
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Xxxxxxxx xxxxxxxxx vod
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Ano/Ne
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Biologické xxxxxxx xxxxxxxxx xxx
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Xxx/Xx
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Xxxxxxx xxxxx xxxxxxx xxxxxxxxx xxx (uveďte slovně)
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Rozhodnutí x xxxxxxxx k xxxxxxxxxx vod
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vydal:
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dne:
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pod x.x.:
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xxxxxxxx xx:
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x množství:
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v xxxxxxx:
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_________________xxx. x/x
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XXX5 hodnota "x" "x"
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XXXXXx hodnota "p" "x"
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_________________xxx.x3/xxx
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_________xx/x
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_________
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___________
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xx/x
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_________________xxx.x3/xxx
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_________x/xxx
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_________
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___________
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x/xxx
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14
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Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxxx xxx
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Xxx/Xx
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15
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X příloze xx xxxxxxx xxxxx xxxx k zakreslení xxxxx x xxxxxxxxxx
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Xxx/Xx
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Xxxxxxxx:
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Xxxxx:
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Xxxxxxx:
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Xxxxxxx x xxxxxx:
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Xxx:
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x-xxxx:
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Xxxxxxxxxxxxx xxxxx
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xxxxxxxxxx xxx
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xxx **)
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X
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XX
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XXX
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XX
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X
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XX
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XXX
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XXXX
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XX
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X
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XX
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XXX
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xxxxxx
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16
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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17
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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18
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xxxxxx 5 let
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| &xxxx; |
xxx **)
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X
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XX
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XXX
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XX
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X
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XX
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XXX
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XXXX
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XX
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X
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XX
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XXX
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xxxxxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; |
xxx **)
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BSK5
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CHSKCr
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NL
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RAS
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N-NH4+
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Nanorg
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Pcelk
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20
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21
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22
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výhled 5 xxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; |
XXX5
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XXXXXx
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XX
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XXX
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X-XX4+
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Xxxxxx
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Xxxxx
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| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; |
XXX5
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XXXXXx
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XX
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XXX
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X-XX4+
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Xxxxxx
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Xxxxx
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| &xxxx; |
XXXXXXXXXX ÚDAJE
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23
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Vypouštěné xxxxxxxxxx x&xxxx;x/xxx dle xxxxxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; |
(xxxx. xx/x x xxx. x3/xxx) / 1000
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Produkované xxxxxxxxxx x&xxxx;x/xxx dle xxxxxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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(xxxx. xx/x x xxx. x3/xxx) / 1000
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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25
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Xxxxx xxxxxxxx připojených xxxxxxxx
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Xxx kanalizace
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jednotná
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oddílná
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jiná
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chladící xxxx
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xxxxxxxx xxxx
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xxxxxxx xxx
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xxxxxxxxxx pro
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důlní
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ostatní
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celkem
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z xxxxxxxxxx
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x cirkulačního
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chladících
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veřejnou
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vody
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chlazení
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chlazení
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vod
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potřebu
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26
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| &xxxx; |
xxxxxxxxx
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xxxxxxxx
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xxxxxxx
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xxxxxxxxx
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xxxxx
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xxxx
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xxxxxx
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| &xxxx; |
xxxx
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xxxx
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xxxxxxx
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xxxx
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xxxx
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xxxxx
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&xxxx;
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27
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
**) xxxxxx správce xxxxxx
První xxxxxx xxxxxxxxx
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Xxxxxxxx:
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- xxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxxxxxx:
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- xxxxx xxxxxxxx odpovědného pracovníka;
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Fax:
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- xxxxx xxxx xxxxxxxxxxx xxxxxxxxxx;
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x-xxxx:
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x-xxxxxxx xxxxxx odpovědného xxxxxxxxxx;
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Xxxxx:
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xxxxx xxxxxxxx tiskopisu;
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XXX5
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xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxx x xxxxxxxxxx xxxxxxxxxxx
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XXX EN 1899-1,2 (75&xxxx;7517)
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XXXXXx
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xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxxxx
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XXX 830540-8
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XX.
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xxxxxxxxxxxx látky
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ČSN XX 872 (75&xxxx;7349)
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XXX.
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xxxxxxxxxx xxxxxxxxxxx xxxx
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XXX 830540-3B
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N-NH4-
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amoniakální xxxxx
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XXX ISO 5664, 7150-1
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Xxxxxx
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xxxxxxx anorganický dusík
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vypočítaný xxxx součet xxxxxxxxxxxx xxxxxxxxxxx xxxxxx xxxxxxxxxxxxx,
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xxxxxx
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xxxxxxxxxxxx, xxxxxxxxxxx xxxxx ČSN XX 26 777 (830540-11) x xxxxxx
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xxxxxxxxxxxxx, stanoveného xxxxx ČSN XXX 7890-3 (830540-12)
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Pcelk
|
celkový xxxxxx
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XXX XX 1189 (75&xxxx;7465)
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ROK XXXX
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Xxxxxxxxx xxxx xxxxxxxxx
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xxxxx xxxxxxx díla:
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povrchové xxxx
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xxxxx xxx:
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xxxx xxxxxxxxxx xxxxxxxx:
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Xxxxxx xxxxx - xxxxx xxxxxxxxx xxxxxxxx
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Xxxxxx xxxxx - sídlo xxxxxxxxxxxxx:
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XX:
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XX:
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XXXX:
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XXXX:
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01
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Xxxxxxxxxxxxx xxxxx xxxxxxx xxxx
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02
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Xxxxx xxxxxxxx xxxxx úseku xxxx
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Xxxxx polohy xx xxxxx xxxx
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03
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Xxxxx xxxxxxxxxxxxxx xxxxxx
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04
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Xxxxx vodního xxxx
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05
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Xxxxx xxxxxxxx
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06
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Xxxxx/Xxxx/Xxxxxxxxxxx xxxxx
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07
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Xxxxxxxxxxxx xxxx:
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Xx = x3/x
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XX = x3/x
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XXX = m3/s
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Charakteristiky xxxxxxx díla:
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Kóta hladiny (x x.x.)
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Xxxxx (mil. x3):
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Xxxxx. xxxxxx (ha):
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08
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Stálý xxxxxxx:
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09
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Xxxxxxx xxxxxxx:
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10
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Xxxxxxx xxxxxxxxxxx xxxxxxx:
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11
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Xxxxxxxxxx x xxxxxxxx x xxxxxxxxx s xxxxxx na vodním xxxx:
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xxxxx:
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xxx:
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xxx x.x.:
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12
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Xxxxxxxxxx x xxxxxxxxx Manipulačního xxxx:
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xxxxx:
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xxx:
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xxx x.x.:
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13
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Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx o xxxxxxxx x xxxxxxxxx x xxxxxx xx xxxxxx díle
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Ano/Ne
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14
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Žádáme x xxxxxxxxx xxxxxxxx rozhodnutí x xxxxxxxxx Xxxxxxxxxxxxx xxxx
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Xxx/Xx
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Xxxxxxxx:
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Xxxxx:
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Xxxxxxx:
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Xxxxxxx a podpis:
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Fax:
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e-mail:
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Identifikační xxxxx
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xxxxxxx xxxx
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| &xxxx; |
Xxxxx
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xxxxxxxx
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1.1.
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1.2.
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1.3.
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1.4.
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1.5.
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1.6.
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1.7.
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1.8.
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1.9.
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1.10.
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1.11.
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1.12.
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1.1.
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15
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Xxxx xxxxxxx
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x x.x.
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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16
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Xxxxx xxxxxx xxxx
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xxx. x3
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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17
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Xxxxxxxx plocha
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ha
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Vyřizuje:
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- xxxxx xxxxxxxxxxx pracovníka;
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Telefon:
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- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxx:
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- číslo faxu xxxxxxxxxxx pracovníka;
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e-mail:
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e-mailová adresa xxxxxxxxxxx xxxxxxxxxx;
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Xxxxx:
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xxxxx xxxxxxxx xxxxxxxxx;
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xxxxxxxx xxxxxxxxx xxxx (mil. x3/xxx)
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xxxxxxx měření jakosti
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nad 10
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1x xx 14 xxx (2x za xxxxx)
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0,5 - 10
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1x xx xxxxx
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0,1 - 0,5
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1x xx 2 xxxxxx
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xxx 0,1
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1x za xxxxxxxx
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