Právní předpis byl sestaven k datu 29.09.2026.
Zobrazené znění právního předpisu je účinné od 01.01.2002.
1. xxxxxxxxxxxxxx xxxxxx x xxxx xxxxxxxxxxxxx xxxxxx xxxxxx xxxxx xxxxxxx pokrývky x xxxxx xxxxxxx xxxxx, xxxxxxxx xxxxxxxxxx xxxxxxxx srážek a xxxxxxxxxxxxxxxx veličin x xxxx xxxxxxxxxxxx stanic xxxxxxxxxx xxx výpočet xxxxxxxxx xxxxx x xxxxxx,
2. teplot vzduchu x xxxxxxx meteorologických xxxxxxx (např. xxxxxxxxx) xxxxxxxxx x xxxxxxxxxx x síti klimatických xxxxxx,
3. xxxxxxx vody xx vodních xxxxxx x xxxx vodoměrných xxxxxx,
4. xxxxxx xxxxxxxxxx xxx v síti xxxxxxx podzemních xxx,
5. xxxxxxxxxx xxxxxxx x xxxx sledovaných pramenů;
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XXX XXXX
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Xxxxx xxxxxxxx xxxx
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xxxxx xxxxxx:
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xxxxx xxxxxxxx xxxxxxxx:
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xxxx xxxxxxxxxx xxxxxxxx:
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Xxxxxx xxxxx - xxxxx xxxxxxxxx xxxxxxxx
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Xxxxxx xxxxx - sídlo 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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01
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Identifikační xxxxx odběru xxxxxxxx xxxx
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Xxxxx maticové xxxxx xxxxx xxxx
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Xxxxx polohy xxxxx xxxx
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Xxxxx hydrologického xxxxxx
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Xxxxxxxxxxxxxxx rajon
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Okres / Xxxx / Xxxxxxxxxxx xxxxx
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Xxxxx odebírané xxxx
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xxxxxxxx
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xxxxx
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xxxx xxxxx
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Xxxxxx xxxxxxxxx vody
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pramenní
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jímací xxxxx
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xxxxxx
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xxxx
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xxxxx
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xxxx xxxxx
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(xxx)
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Xxxxxx úpravy xxxx
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xxx xxxxxx
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xxxx
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Xxxxxx xxxxxxxxx xxxxxx xxxxxx
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xxxxxx
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xxxxxxx
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xxxxx
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Xxxxx / Xxx / Xxxxxxxx xxxxxxxx xxxxxxxx v x/x
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Xxxxxxxxxx x xxxxxxxx x odběru xxxxxxxx xxxx
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xxx x.x.:
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x xxxxxxxx:________________ x/x
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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 x xxxxxxxxx ochranného xxxxx xxxxxxx zdroje
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vydal:
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dne:
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pod xx.:
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Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx o povolení x xxxxxx podzemní xxxx
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Xxx / Xx
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Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx o xxxxxxxxx xxxxxxxxxx xxxxx vodního xxxxxx
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Xxx / Xx
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X xxxxxxx se předává xxxxx xxxx x 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 a xxxxxx:
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Xxxxxxxxxxxxx číslo
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xxxxxx 5 xxx
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rok**)
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II
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III
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IV
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V
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VI
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VII
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VIII
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IX
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X
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XI
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XII
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celkem
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xxxxxxxx xxxx xxxxxx konečnému xxxxxxxxx, xxx spotřeby vody xxx xxxxxx x xxxx ztrát x xxxxxxxxx
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&xxxx; |
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Xxxxxxxx:
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- xxxxx odpovědného xxxxxxxxxx;
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Xxxxxxx:
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- xxxxx xxxxxxxx odpovědného xxxxxxxxxx;
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Xxx:
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- xxxxx xxxx xxxxxxxxxxx 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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Xxxxxxx x xxxxxx: xxxxxxx povinného subjektu, xxxxxxxx xxxxxxxxxxxxx x xxxxxx xxxxxxxxxxx xxxxxxxxxx.
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xxxxxxxx
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XXX XXX 9297 (75&xxxx;7420), XXX 830520-11
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xxxxxx
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XXX XX XXX 10304-1 (75&xxxx;7391)
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XXX XXX 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 XXX 5664 (75&xxxx;7449)
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xxxxxxxxx
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XXX XXX 7890-1,2,3 (75&xxxx;7453)
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xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxxxxxx
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XXX XX XXX 8467 (75 7519)
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měď
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ČSN 830520-44
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XXX XXX 8288 (75&xxxx;7382)
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XXX XX ISO 5961 (75&xxxx;7418)
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xxxxx
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XXX 830520-43
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XXX XXX 8288 (75&xxxx;7382)
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XXX XXXX
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Xxxxx xxxxxxxxx xxxx -
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xxxxx xxxxxx:
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xxxxx xxxxxx:
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xxxx xxxxxxxxxx xxxxxxxx:
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Xxxxxx xxxxx - sídlo xxxxxxxxx subjektu
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Trvalý xxxxx - sídlo xxxxxxxxxxxxx:
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XX:
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XXXX:
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1
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Xxxxxxxxxxxxx xxxxx xxxxxx xxxxxxxxx xxxx
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02
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Xxxxx xxxxxxxx xxxxx xxxxx toku
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Číslo polohy xx úseku 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 kilometr
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06
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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 území
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Způsob xxxxxxxxx xxxxxx xxxxxx
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Xxxx xxxxxxxxx zařízení x x. x.x. (Xxxx xx xxxxxxxxx)
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Xxxxxxxxxx x xxxxxxxx k xxxxxx xxxxxxxxx xxxx
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pod x.x.:
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x xxxxxxxx:_______________ l/s
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_________xxx.x3/xxx
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____________________xxx. m3/rok
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pro účel:
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Rozhodnutí x xxxxxxxxx xxxxxxxxxx xxxxx vodního xxxxxx
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Xxxxxx x xxxxxxxxx xxxxxxxx rozhodnutí x xxxxxxxx x xxxxxx xxxxxxxxx xxxx
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Xxx/Xx
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Xxxxxx o xxxxxxxxx platného xxxxxxxxxx x stanovení ochranného xxxxx xxxxxxx xxxxxx
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Xxx/Xx
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14
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X xxxxxxx xx předává xxxxx xxxx k xxxxxxxxxx xxxxx odběru
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Ano/Ne
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Vyřizuje:
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Datum:
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Xxxxxxxx:
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- jméno xxxxxxxxxxx xxxxxxxxxx;
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Xxxxxxx:
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- xxxxx xxxxxxxx xxxxxxxxxxx pracovníka;
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Fax:
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- xxxxx xxxx odpovědného xxxxxxxxxx;
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x-xxxx:
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x-xxxxxxx xxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxxxx:
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xxxxx xxxxxxxx xxxxxxxxx;
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Xxxxx strana xxxxxxxxx
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xxxxxxx vody
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ČSN 75&xxxx;7342
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xX
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xxxxxx xxxx
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XXX ISO 10523 (75&xxxx;7365)
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xxxxxxxxxxxx
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XXX EN 27888
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XXX5
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xxxxxxxxxxx xxxxxxxx kyslíku xxxxxxxxx
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XXX XX 1899 (75&xxxx;7517)
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XXXXXx
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xxxxxxxx spotřeba 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 7451)
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ČSN XXX 5664 (75 7449)
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ČSN 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 fosfor
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ČSN XX 1189 (75 7465)
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ROK XXXX
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Xxxxxxxxxx vody -
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druh xxxxxxxxxx xxxxxxxx:
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Xxxxxx xxxxx - xxxxx xxxxxxxxx subjektu
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Trvalý 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 číslo vypouštění xxxx
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|||||||||||
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02
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Xxxxx maticové xxxxx xxxxx xxxx
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Xxxxx xxxxxx xx xxxxx xxxx
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||||||||||
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03
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Xxxxx xxxxxxxxxxxxxx xxxxxx
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|||||||||||
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04
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Xxxxx vodního xxxx
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05
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Xxxxx kilometr
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06
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Břeh
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Levý
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Střed
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Pravý
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|||||||
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07
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Okres/Obec/Katastrální xxxxx
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08
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Xxxxxx xxxxxxxxx xxxxxxxx xxxxxxxxxxxx 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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|||||||
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09
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Xxxxxx xxxxxxxxx hodnot xxxxxxx vypouštěných xxx
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xxxxxx
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xxxxxxx
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xxxxx
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||||||||
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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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||||||||
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12
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Xxxxxxx xxxxx čištění xxxxxxxxx xxx (xxxxxx xxxxxx)
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13
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Xxxxxxxxxx x povolení x xxxxxxxxxx xxx
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|||||||||||
| &xxxx; |
xxxxx:
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xxx:
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||||||||||
| &xxxx; |
xxx x.x.:
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xxxxxxxx xx:
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||||||||||
| &xxxx; |
x xxxxxxxx:
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x xxxxxxx:
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||||||||||
| &xxxx; |
_________________xxx. x/x
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XXX5 xxxxxxx "x" "x"
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XXXXXx hodnota "p" "x"
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|||||||||
| &xxxx; |
_________________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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|||||||
| &xxxx; |
_________________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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|||||||
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14
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Xxxxxx o xxxxxxxxx xxxxxxxx xxxxxxxxxx k xxxxxxxxxx xxx
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Xxx/Xx
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||||||||||
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15
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X příloze xx xxxxxxx xxxxx xxxx x zakreslení xxxxx x xxxxxxxxxx
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Xxx/Xx
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||||||||||
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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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vypouštění xxx
|
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| &xxxx; |
xxx **)
|
I
|
II
|
III
|
IV
|
V
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VI
|
VII
|
VIII
|
IX
|
X
|
XI
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XII
|
celkem
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16
|
||||||||||||||
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17
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||||||||||||||
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18
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výhled 5 xxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
rok **)
|
X
|
XX
|
XXX
|
XX
|
X
|
XX
|
XXX
|
XXXX
|
XX
|
X
|
XX
|
XXX
|
xxxxxx
|
|
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19
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; |
xxx **)
|
XXX5
|
XXXXXx
|
XX
|
XXX
|
X-XX4+
|
Xxxxxx
|
Xxxxx
|
|
20
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
21
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
22
|
xxxxxx 5 xxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; |
XXX5
|
XXXXXx
|
XX
|
XXX
|
X-XX4+
|
Xxxxxx
|
Xxxxx
|
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; |
XXX5
|
XXXXXx
|
XX
|
XXX
|
X-XX4+
|
Xxxxxx
|
Xxxxx
|
| &xxxx; |
XXXXXXXXXX XXXXX
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
23
|
Xxxxxxxxxx xxxxxxxxxx x&xxxx;x/xxx xxx xxxxxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; |
(xxxx. xx/x x tis. x3/xxx) / 1000
|
|||||||
|
24
|
Produkované xxxxxxxxxx v t/rok dle xxxxxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; |
(xxxx. xx/x x xxx. x3/xxx) / 1000
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
25
|
Xxxxx skutečně připojených xxxxxxxx
|
Xxx xxxxxxxxxx
|
xxxxxxxx
|
xxxxxxx
|
xxxx
|
|||
| &xxxx; |
xxxxxxxx xxxx
|
xxxxxxxx xxxx
|
xxxxxxx xxx
|
xxxxxxxxxx xxx
|
xxxxx
|
xxxxxxx
|
xxxxxx
|
| &xxxx; |
x xxxxxxxxxx
|
x xxxxxxxxxxxx
|
xxxxxxxxxx
|
xxxxxxxx
|
xxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx; |
xxxxxxxx
|
xxxxxxxx
|
xxx
|
xxxxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
|
26
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
povrchová
|
podzemní
|
veřejný
|
minerální
|
důlní
|
jiný
|
celkem
|
|
|
voda
|
voda
|
vodovod
|
voda
|
voda
|
původ
|
|
|
|
27
|
**) xxxxxx xxxxxxx xxxxxx
Xxxxx xxxxxx xxxxxxxxx
|
Xxxxxxxx:
|
- xxxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxxxxxx:
|
- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxx:
|
- xxxxx xxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
x-xxxx:
|
x-xxxxxxx adresa xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxxxx:
|
xxxxx vyplnění tiskopisu;
|
|
XXX5
|
xxxxxxxxxxx xxxxxxxx kyslíku xxxxxxxxx s xxxxxxxxxx xxxxxxxxxxx
|
|
XXX EN 1899-1,2 (75&xxxx;7517)
|
|
|
XXXXXx
|
xxxxxxxx spotřeba xxxxxxx xxxxxxxxxxx
|
|
XXX 830540-8
|
|
|
NL.
|
nerozpuštěné xxxxx
|
|
XXX XX 872 (75&xxxx;7349)
|
|
|
XXX.
|
xxxxxxxxxx xxxxxxxxxxx soli
|
|
ČSN 830540-3X
|
|
|
X-XX4-
|
xxxxxxxxxxx xxxxx
|
|
XXX ISO 5664, 7150-1
|
|
|
Xxxxxx
|
xxxxxxx xxxxxxxxxxx xxxxx
|
|
xxxxxxxxxx xxxx xxxxxx hmotnostních xxxxxxxxxxx dusíku xxxxxxxxxxxxx,
|
|
|
xxxxxx
|
xxxxxxxxxxxx, xxxxxxxxxxx podle ČSN XX 26&xxxx;777 (830540-11) x xxxxxx
|
|
xxxxxxxxxxxxx, xxxxxxxxxxx xxxxx XXX XXX 7890-3 (830540-12)
|
|
|
Xxxxx
|
xxxxxxx xxxxxx
|
|
XXX XX 1189 (75&xxxx;7465)
|
&xxxx;
|
XXX XXXX
|
|
|
Xxxxxxxxx nebo xxxxxxxxx
|
xxxxx xxxxxxx xxxx:
|
|
xxxxxxxxx xxxx
|
xxxxx xxx:
|
|
xxxx xxxxxxxxxx xxxxxxxx:
|
|
|
Xxxxxx xxxxx - xxxxx xxxxxxxxx xxxxxxxx
|
Xxxxxx xxxxx - xxxxx xxxxxxxxxxxxx:
|
|
XX:
|
XX:
|
|
XXXX:
|
XXXX:
|
|
01
|
Xxxxxxxxxxxxx xxxxx xxxxxxx díla
|
|||
|
02
|
Horní xxxxxxxx číslo xxxxx xxxx
|
Xxxxx polohy na xxxxx xxxx
|
||
|
03
|
Xxxxx hydrologického xxxxxx
|
|||
|
04
|
Xxxxx vodního toku
|
|||
|
05
|
Říční xxxxxxxx
|
|||
|
06
|
Xxxxx/Xxxx/Xxxxxxxxxxx xxxxx
|
|||
|
07
|
Xxxxxxxxxxxx xxxx:
|
Xx = m3/s
|
MQ = x3/x
|
XXX = m3/s
|
|
Charakteristiky xxxxxxx díla:
|
Kóta xxxxxxx (x x.x.)
|
Xxxxx (xxx. x3):
|
Xxxxx. plocha (xx):
|
|
|
08
|
Xxxxx xxxxxxx:
|
|||
|
09
|
Xxxxxxx xxxxxxx:
|
|||
|
10
|
Xxxxxxx xxxxxxxxxxx xxxxxxx:
|
|||
|
11
|
Xxxxxxxxxx x xxxxxxxx x xxxxxxxxx x xxxxxx na xxxxxx xxxx:
|
|||
|
xxxxx:
|
xxx:
|
|||
|
xxx x.x.:
|
||||
|
12
|
Xxxxxxxxxx x xxxxxxxxx Manipulačního řádu:
|
|||
|
vydal:
|
dne:
|
|||
|
pod x.x.:
|
||||
|
13
|
Xxxxxx x xxxxxxxxx xxxxxxxx rozhodnutí o xxxxxxxx x nakládání x xxxxxx xx xxxxxx xxxx
|
Xxx/Xx
|
||
|
14
|
Xxxxxx o xxxxxxxxx xxxxxxxx xxxxxxxxxx x schválení Manipulačního xxxx
|
Xxx/Xx
|
||
|
Xxxxxxxx:
|
Xxxxx:
|
|
Xxxxxxx:
|
Xxxxxxx a xxxxxx:
|
|
Xxx:
|
|
|
x-xxxx:
|
|
|
Xxxxxxxxxxxxx xxxxx
|
|
|
xxxxxxx díla
|
|
| &xxxx; |
Xxxxx
|
xxxxxxxx
|
1.1.
|
1.2.
|
1.3.
|
1.4.
|
1.5.
|
1.6.
|
1.7.
|
1.8.
|
1.9.
|
1.10.
|
1.11.
|
1.12.
|
1.1.
|
|
15
|
Xxxx hladiny
|
m x.x.
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
16
|
Xxxxx vzduté xxxx
|
xxx. x3
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
17
|
Xxxxxxxx xxxxxx
|
xx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
Vyřizuje:
|
- xxxxx odpovědného xxxxxxxxxx;
|
|
Xxxxxxx:
|
- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxx:
|
- xxxxx xxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
x-xxxx:
|
x-xxxxxxx xxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxxxx:
|
xxxxx vyplnění xxxxxxxxx;
|
|
xxxxxxxx xxxxxxxxx xxxx (xxx. x3/xxx)
|
xxxxxxx xxxxxx jakosti
|
|
nad 10
|
1x za 14 xxx (2x xx xxxxx)
|
|
0,5 - 10
|
1x xx xxxxx
|
|
0,1 - 0,5
|
1x za 2 xxxxxx
|
|
xxx 0,1
|
1x za xxxxxxxx
|