Právní předpis byl sestaven k datu 02.11.2024.
Zobrazené znění právního předpisu je účinné od 01.01.2002.
1. xxxxxxxxxxxxxx xxxxxx v xxxx xxxxxxxxxxxxx xxxxxx xxxxxx xxxxx sněhové pokrývky x xxxxx xxxxxxx xxxxx, xxxxxxxx xxxxxxxxxx xxxxxxxx xxxxxx a xxxxxxxxxxxxxxxx veličin x xxxx klimatických stanic xxxxxxxxxx pro výpočet xxxxxxxxx xxxxx x xxxxxx,
2. xxxxxx xxxxxxx x dalších meteorologických xxxxxxx (xxxx. evaporací) xxxxxxxxx x xxxxxxxxxx x xxxx xxxxxxxxxxxx xxxxxx,
3. xxxxxxx xxxx xx xxxxxxx xxxxxx x xxxx xxxxxxxxxxx xxxxxx,
4. xxxxxx podzemních xxx x xxxx xxxxxxx xxxxxxxxxx xxx,
5. xxxxxxxxxx xxxxxxx v xxxx xxxxxxxxxxx xxxxxxx;
XXX XXXX
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Odběr 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 - sídlo xxxxxxxxx subjektu
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Trvalý xxxxx - xxxxx xxxxxxxxxxxxx:
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&xxxx; | |
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 podzemní xxxx
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Xxxxx xxxxxxxx xxxxx xxxxx xxxx
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Xxxxx xxxxxx xxxxx xxxx
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Xxxxx hydrologického xxxxxx
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Xxxxxxxxxxxxxxx rajon
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Okres / Xxxx / Katastrální xxxxx
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Xxxxx xxxxxxxxx xxxx
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xxxxx
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xxxx xxxxx
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Xxxxxx xxxxxxxxx xxxx
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xxxxxx xxxxx
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xxxxxx
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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 xxxxxx
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xxxxxxxxxx
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xxxx
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Xxxxxx 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 xxxxxxxx x x/x
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Xxxxxxxxxx x povolení x odběru xxxxxxxx xxxx
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xxx x.x.:
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x xxxxxxxx:________________ l/s
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max. 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 účel:
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Rozhodnutí x xxxxxxxxx ochranného pásma xxxxxxx xxxxxx
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xxx xx.:
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Xxxxxx x přiložení xxxxxxxx xxxxxxxxxx o povolení x xxxxxx xxxxxxxx xxxx
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Xxx / Ne
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Žádáme x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxx vodního xxxxxx
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Xxx / Ne
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V xxxxxxx xx xxxxxxx xxxxx xxxx 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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xxxxxx 5 xxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
pro xxxxxxxx
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xxx xxxxxxxxxx
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xxx
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xxx živočišnou
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pro xxxxxxxxxxx
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xxx xxxxxxxx
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XXX
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(xxx. spotřebu)
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odběry
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PMV
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xxxxxxxx xxxx xxxxxx konečnému xxxxxxxxx, xxx xxxxxxxx vody xxx xxxxxx x xxxx ztrát v xxxxxxxxx
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&xxxx; |
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Vyřizuje:
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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 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 vyplnění xxxxxxxxx;
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Xxxxxxx a xxxxxx: xxxxxxx xxxxxxxxx subjektu, xxxxxxxx provozovatele x xxxxxx odpovědného xxxxxxxxxx.
xxxxxxxx
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XXX ISO 9297 (75&xxxx;7420), XXX 830520-11
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xxxxxx
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XXX XX XXX 10304-1 (75 7391)
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ČSN XXX 9280 (75&xxxx;7476)
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xxxxxx ionty
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ČSN 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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XXXXXx
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xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxxxxxx
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XXX XX XXX 8467 (75&xxxx;7519)
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xxx
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XXX XXX 8288 (75&xxxx;7382)
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XXX 830520-44
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xxxxxxx
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XXX XXX 8288 (75 7382)
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ČSN 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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xX
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XXX XXX 10523;
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XXX XXXX
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Odběr xxxxxxxxx xxxx -
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název xxxxxx:
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xxxxx xxxxxx:
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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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1
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Identifikační xxxxx xxxxxx xxxxxxxxx xxxx
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02
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Xxxxx maticové číslo xxxxx toku
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Číslo xxxxxx 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 xxxxxxx 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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07
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Okres/Obec/Katastrální území
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08
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Způsob xxxxxxxxx hodnot 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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09
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Xxxx xxxxxxxxx zařízení v x. x.x. (Xxxx xx xxxxxxxxx)
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Xxxxxxxxxx x xxxxxxxx x odběru xxxxxxxxx xxxx
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xxxxx:
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xxx:
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xxx 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 stanovení ochranného xxxxx xxxxxxx zdroje
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vydal:
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dne:
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pod x.x.:
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||||||
12
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Xxxxxx x xxxxxxxxx xxxxxxxx rozhodnutí x xxxxxxxx x xxxxxx xxxxxxxxx vody
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Ano/Ne
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13
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Žádáme x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxx xxxxxx
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Xxx/Xx
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X xxxxxxx se xxxxxxx xxxxx xxxx x xxxxxxxxxx xxxxx xxxxxx
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Xxx/Xx
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Xxxxxxxx:
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Xxxxxxx:
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Xxxxxxx x xxxxxx:
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x-xxxx:
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17
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xxx xxxxxxxx
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xxx xxxxxxxxxx
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xxx
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pro průmyslovou
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pro xxxxxxxx
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xxxxxx
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&xxxx; |
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(xxx. xxxxxxxx)
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&xxxx;
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19
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
20
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&xxxx; |
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Xxxxx
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Xxxxxxxx:
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- jméno xxxxxxxxxxx xxxxxxxxxx;
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Xxxxxxx:
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- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxx:
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- číslo 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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Xxxxx xxxxxx xxxxxxxxx
xxxxxxx vody
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ČSN 75&xxxx;7342
|
xX
|
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
|
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 kyslíku 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 7450)
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N-NO3-
|
dusičnanový xxxxx
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XXX XXX 7890-1,2,3 (75&xxxx;7453)
|
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Xxxxx
|
xxxxxxx xxxxxx
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XXX EN 1189 (75&xxxx;7465)
|
ROK XXXX
|
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Xxxxxxxxxx xxxx -
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název xxxxxxxxxx:
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xxxxx vypouštění:
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druh 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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01
|
Xxxxxxxxxxxxx xxxxx vypouštění xxxx
|
|||||||||||
02
|
Xxxxx xxxxxxxx xxxxx xxxxx xxxx
|
Xxxxx xxxxxx xx xxxxx toku
|
||||||||||
03
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Číslo xxxxxxxxxxxxxx xxxxxx
|
|||||||||||
04
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Xxxxx xxxxxxx xxxx
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|||||||||||
05
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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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|||||||
07
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Xxxxx/Xxxx/Xxxxxxxxxxx xxxxx
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|||||||||||
08
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Xxxxxx xxxxxxxxx xxxxxxxx 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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|||||||
09
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Xxxxxx stanovení xxxxxx xxxxxxx xxxxxxxxxxxx vod
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měření
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výpočet
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odhad
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||||||||
10
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Typ 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; | |||||
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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||||||||
12
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Xxxxxxx xxxxx xxxxxxx xxxxxxxxx xxx (xxxxxx slovně)
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13
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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 č.j.:
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platnost 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 hodnota "x" "x"
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XXXXXx xxxxxxx "x" "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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|||||||
14
|
Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxxx xxx
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Xxx/Xx
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||||||||||
15
|
X příloze xx xxxxxxx xxxxx xxxx x zakreslení xxxxx x vypouštění
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Ano/Ne
|
Vyřizuje:
|
Datum:
|
Telefon:
|
Razítko 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 **)
|
X
|
XX
|
XXX
|
XX
|
X
|
XX
|
XXX
|
XXXX
|
XX
|
X
|
XX
|
XXX
|
xxxxxx
|
16
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
17
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
18
|
xxxxxx 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
|
|
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 ÚDAJE
|
|||||||
23
|
Vypouštěné znečištění x&xxxx;x/xxx xxx xxxxxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; |
(xxxx. xx/x x xxx. x3/xxx) / 1000
|
|||||||
24
|
Produkované xxxxxxxxxx x&xxxx;x/xxx xxx xxxxxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; |
(xxxx. mg/l x xxx. x3/xxx) / 1000
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
25
|
Xxxxx skutečně připojených xxxxxxxx
|
Xxx kanalizace
|
jednotná
|
oddílná
|
jiná
|
chladící xxxx
|
xxxxxxxx xxxx
|
xxxxxxx bez
|
kanalizace pro
|
důlní
|
ostatní
|
celkem
|
|
z xxxxxxxxxx
|
x xxxxxxxxxxxx
|
xxxxxxxxxx
|
xxxxxxxx
|
xxxx
|
&xxxx;
|
&xxxx;
|
|
&xxxx; |
xxxxxxxx
|
xxxxxxxx
|
xxx
|
xxxxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
26
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; |
xxxxxxxxx
|
xxxxxxxx
|
xxxxxxx
|
xxxxxxxxx
|
xxxxx
|
xxxx
|
xxxxxx
|
&xxxx; |
xxxx
|
xxxx
|
xxxxxxx
|
xxxx
|
xxxx
|
xxxxx
|
&xxxx;
|
27
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
**) xxxxxx xxxxxxx povodí
Xxxxx xxxxxx xxxxxxxxx
Xxxxxxxx:
|
- jméno xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxxxx:
|
- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxx:
|
- xxxxx faxu xxxxxxxxxxx xxxxxxxxxx;
|
x-xxxx:
|
x-xxxxxxx xxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxx:
|
xxxxx xxxxxxxx xxxxxxxxx;
|
XXX5
|
xxxxxxxxxxx spotřeba kyslíku xxxxxxxxx s potlačením xxxxxxxxxxx
|
XXX EN 1899-1,2 (75&xxxx;7517)
|
|
XXXXXx
|
xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxxxx
|
XXX 830540-8
|
|
XX.
|
xxxxxxxxxxxx látky
|
ČSN XX 872 (75&xxxx;7349)
|
|
XXX.
|
xxxxxxxxxx xxxxxxxxxxx soli
|
ČSN 830540-3X
|
|
X-XX4-
|
xxxxxxxxxxx xxxxx
|
XXX XXX 5664, 7150-1
|
|
Xxxxxx
|
xxxxxxx anorganický xxxxx
|
xxxxxxxxxx xxxx xxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxx xxxxxxxxxxxxx,
|
|
xxxxxx
|
xxxxxxxxxxxx, xxxxxxxxxxx xxxxx XXX XX 26&xxxx;777 (830540-11) x xxxxxx
|
xxxxxxxxxxxxx, xxxxxxxxxxx xxxxx ČSN XXX 7890-3 (830540-12)
|
|
Xxxxx
|
xxxxxxx xxxxxx
|
XXX XX 1189 (75&xxxx;7465)
|
&xxxx;
XXX XXXX
|
|
Xxxxxxxxx xxxx xxxxxxxxx
|
xxxxx xxxxxxx xxxx:
|
xxxxxxxxx vody
|
vodní xxx:
|
xxxx ekonomické činnosti:
|
|
Trvalý xxxxx - xxxxx xxxxxxxxx xxxxxxxx
|
Xxxxxx xxxxx - xxxxx xxxxxxxxxxxxx:
|
XX:
|
XX:
|
XXXX:
|
XXXX:
|
01
|
Xxxxxxxxxxxxx xxxxx xxxxxxx xxxx
|
|||
02
|
Xxxxx xxxxxxxx číslo úseku xxxx
|
Xxxxx polohy xx xxxxx xxxx
|
||
03
|
Xxxxx xxxxxxxxxxxxxx xxxxxx
|
|||
04
|
Xxxxx xxxxxxx xxxx
|
|||
05
|
Xxxxx xxxxxxxx
|
|||
06
|
Xxxxx/Xxxx/Xxxxxxxxxxx xxxxx
|
|||
07
|
Xxxxxxxxxxxx xxxx:
|
Xx = m3/s
|
MQ = x3/x
|
XXX = x3/x
|
Xxxxxxxxxxxxxxx xxxxxxx xxxx:
|
Xxxx xxxxxxx (x x.x.)
|
Xxxxx (mil. x3):
|
Xxxxx. xxxxxx (xx):
|
|
08
|
Xxxxx xxxxxxx:
|
|||
09
|
Xxxxxxx prostor:
|
|||
10
|
Celkový xxxxxxxxxxx xxxxxxx:
|
|||
11
|
Xxxxxxxxxx x povolení x xxxxxxxxx x xxxxxx xx vodním xxxx:
|
|||
xxxxx:
|
xxx:
|
|||
xxx x.x.:
|
||||
12
|
Xxxxxxxxxx x xxxxxxxxx Xxxxxxxxxxxxx xxxx:
|
|||
xxxxx:
|
xxx:
|
|||
xxx x.x.:
|
||||
13
|
Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxx x xxxxxxxxx x vodami xx xxxxxx xxxx
|
Xxx/Xx
|
||
14
|
Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxx Xxxxxxxxxxxxx xxxx
|
Xxx/Xx
|
Xxxxxxxx:
|
Xxxxx:
|
Xxxxxxx:
|
Xxxxxxx a xxxxxx:
|
Xxx:
|
|
x-xxxx:
|
|
Xxxxxxxxxxxxx xxxxx
|
|
xxxxxxx xxxx
|
Datum
|
jednotky
|
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
|
Kóta xxxxxxx
|
x x.x.
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
16
|
Xxxxx xxxxxx 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; |
Xxxxxxxx:
|
- xxxxx xxxxxxxxxxx pracovníka;
|
Telefon:
|
- xxxxx telefonu xxxxxxxxxxx xxxxxxxxxx;
|
Xxx:
|
- xxxxx faxu xxxxxxxxxxx xxxxxxxxxx;
|
x-xxxx:
|
x-xxxxxxx adresa xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxx:
|
xxxxx xxxxxxxx xxxxxxxxx;
|
xxxxxxxx xxxxxxxxx xxxx (xxx. x3/xxx)
|
xxxxxxx měření xxxxxxx
|
xxx 10
|
1x za 14 xxx (2x xx xxxxx)
|
0,5 - 10
|
1x xx měsíc
|
0,1 - 0,5
|
1x xx 2 xxxxxx
|
xxx 0,1
|
1x za xxxxxxxx
|