Právní předpis byl sestaven k datu 31.08.2012.
Zobrazené znění právního předpisu je účinné od 15.09.2009 do 31.08.2012.
Vyhláška o předcházení emisím regulovaných látek a fluorovaných skleníkových plynů
279/2009 Sb.
ŽÁDOST X XXXXXXXX XXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXX PŘI XXXXXXX XX HALONY
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Údaje o xxxxxxxx
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Xxxxx narození
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Státní xxxxxxxxxxx
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Xxxxxxx - xxxxxxxxx xxxxx vyplní
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Název a xxxxxx xxxxx**)
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(xxxxx****))
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Xxxxx o stávajícím xxxxxxx xxxxxxx xxxxxxx
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Xxxxxx xxxxxxxxx
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Xxxxx xxxxxxxxx (ks)
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Označení xxxxxx
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Xxxxxxx xxxxx (xx)
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Xxxxxxx xxxxxxx
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xxxxx/xxxxx
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Xxxxx o xxxxxxxx xx xxxxxxxx hydrochlorfluoruhlovodíkem (XXXX)
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Xxxxxxxx XXXX Xxxxxxx xxxxx XXXX (kg)
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Zneškodnění xxxxxx
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Xxxxxxxxx HCFC
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název / xxxxx
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Xxxxxxxxxxx halonů xxxxxxx
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Xxxxxx zneškodnění xxxxxx:
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Xxx: .............................................. Xxxxxx oprávněné xxxxx: ..............................................
(xxxxxxx)
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Xxxxxxxx (xxxxx x xxx xxxxxxx x. 2, 3 x 4):
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Registrační xxxxx
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Xxxxxxx - xxxxxxxxx
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Xxxxxxxx xxxxxxxx
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Xxxxxxxx údaje
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Jméno****) xxxx xxxxx**) xxxxxxxxxxxxx xxxxxxxx
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Xxxxxx*) xxxxxxxxxxxxx zařízení
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Telefonní číslo xxxxxxxxxxxxx zařízení
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Umístění xxxxxxxx
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Xxxxxxxxx xxxxx zařízení
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Výrobce - xxxxxxxxx zařízení
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Typ xxxxxxxx
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Xxxxxxxxx xxxxx zařízení
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Rok xxxxxx
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Xxxx xxxxxxxx / hasiva / množství
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Druh oleje / množství
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Identifikace xxxxxxxxx xxxxx xxxxxxxx
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Xxxxxxxxx xxxxx xxxxxxxxx xxxxx xxxxxxxx
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Xxxxx xxxxxxxx evidenční xxxxx / xxxxxxxx xxxxxxxxx xxxxx xxxxxxxx
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Xxxxxxxxxxxxx xxxxx xxx kontrolu xxxxx - jméno
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Registrační číslo xxxxxxxxxxxxx osoby pro xxxxxxxx xxxxx
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Xxxxx, xxxxxxx x poznámky xxxxxxxx se xxxxxx 1:
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Xxxxx x xxxxxxxxxx xxxxxxx na xxxxxxxxx xxxxxxxxx knihu:
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Evidenční číslo xxxxxxxxx evidenční knihy xxxxxxxx; xxxxx xxxxxx xxxxxxx; xxxxx, xxxxx; xxxxxxxxxxx číslo x xxxxxx xxxxxxxxx technika, xxxxx xxxxxx xxxxxxx.
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Xxxxx x xxxxxxxx xxxxxxx xx této xxxxxxxxx xxxxx zařízení:
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Důvod xxxxxxxx; xxxxxxxxx číslo xxxx xxxxxxxxx knihy zařízení; xxxxx, jméno; registrační xxxxx x podpis xxxxxxxxx technika, který xxxxxxxx provedl.
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Datum
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Identifikace xxxxx
(xxxxxxxxxxxx číslo xxxx xxxxx x kontaktní xxxxxx)
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Xxxxx x provedené xxxxxxxx
(xxxxxx popisu xxxxxx)
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Xxxxxxxx / hasivo / xxxx
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(xx)
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(xx)
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XXXXXXXX X XXXXX XXXXXXX XXXXXXX OCHRANY A XXXXXXXX PŘÍSTROJŮ S XXXXXX X XXXXXXXX XXXXXX X XXXX XXXXXXXXXX xxxxx §28 xxxx. 3 xxxxxx
Xxxxxx 1.
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Xxxxx xxxxxxx xxxxxxx xxxxxxx x hasicích xxxxxxxxx x halony, množství xxxxxx x nich xxxxxxxxxx x odhad xxxxx halonů
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typ x xxxxx xxxxxxxxx
(Xxx xxxxxx x xxxxxxxx přílohy x. 3)
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instalace (xx)
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(xx)
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X-1301/1
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X-1301/2
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X-1301/3
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X-1301/4
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X-1301/5
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X-1301/6
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X-1301/7
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X-1301/8
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X-1211/1
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X-1211/2
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X-2402/1
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X-2402/2
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Xxxxxxxx xxxxxxxxxxxx xxxxxx pro xxxxxxxx xxxxxxx (xx):
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XXXXXXXX O XXXXX XXXXXXX XXXXXXX XXXXXXX X XXXXXXXX PŘÍSTROJŮ X HALONY X XXXXXXXX XXXXXX V XXXX XXXXXXXXXX podle §28 xxxx. 3 xxxxxx
Xxxxxx 2.
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Xxxxxxxx xx xxxxxxxxx emisí xxxxxx x odhad xxxxxx xxxxx:
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Xxxxxx k xxxxxxxx xxxxxxx x. 3
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XXXXXX X MNOŽSTVÍ FLUOROVANÝCH XXXXXXXXXXXX PLYNŮ X XXXXXXXXXXXX XXXXX (XXXXXXX XXXX XXXXXXX Z XXXX XX XXXXXX XXXXXXXXX STÁTU XX, XXXXXXXXXXX, ZNOVUZÍSKÁNÍ, XXXXXXXXX, XXXXXXXXXX X XXXXXXXXXXX)
xxxxx §32 xxxx. 1 xxxxxx
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Xxxxx o uživateli
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Uživatel - xxxxxxx xxxxx xxxxxx
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Xxxxx narození
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Státní xxxxxxxxxxx
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Xxxxx certifikátu
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ze xxx
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X xxxx ....... xx xxxxxx xxxxxx x xxxxxx xxxxxxxxxx
□ xxxxxxx xxxxxxxxxxxx skleníkových xxxxx x xxxxxx xxxxxxxxx xxxxx EU
□ xxxxxxx fluorovaných xxxxxxxxxxxx xxxxx do xxxxxx xxxxxxxxx xxxxx EU
□ xxxxxxxxxxx xxxxxxxxxxxx skleníkových xxxxx
□ xxxxx xxxxxxx xx xxx xxxxxxxxxxxx xxxxx
□ xxxxxxxxxxxxxx xxxxxxxxxxxx xxxxx
□ xxxxxxxxxxxxxx xxxxxxxxxxxx xxxxx xxx xxxxxxxxx xxxxxxx
□ xxxxxxxxx regulovaných xxxxx
□ xxxxxxxxxx xxxxxxxxxxxx xxxxx
□ zneškodnění xxxxxxxxxxxx xxxxx
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Xxxxxx oprávněné xxxxx:
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(xxxxxxx)
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Vyplňuje xxxxx, xxxxx xxxxxxx xx xxxxx x xxxxxx xxxxxxxxx státu Xxxxxxxx xxxx xxxx xxx 100 kg xxxxxxxxxxxx xxxxxxxxxxxx xxxxx
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Xxxxxxxxxx xxxxxxxxxx plyn (xxxxxxxx, xxxxxx)
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Xxxxxxxx množství (xx)
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Xxxxxxxx osoba, xxxxx xxxxxxx osobě xx xxxxxx xxxxxxxxx xxxxx Xxxxxxxx xxxx více xxx 100 xx xxxxxxxxxxxx skleníkových xxxxx
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Xxxxxxxxxx xxxxxxxxxx xxxx (označení, xxxxxx)
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Xxxxxxxx xxxxxxxx (xx)
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Xxxxxxxxxx skleníkový xxxx (označení, xxxxxx)
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Xxxxxxxxxxx xxxxxxxx (xx)
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Xxxxxxxx xx:
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Vyplňuje osoba, xxxxx xxxxxx xxxxxx xx trh v XX xxxxxxxxxx xxxxx
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Xxxxxxxxxx xxxxx (xxxxxxxx, vzorec)
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Množství xxxxxxx na xxx (xx)
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Xxxxxxxx osoba, xxxxx xxxxxxxxxxxx xxxxxxxxxx xxxxx
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Xxxxxxxxxx xxxxx (xxxxxxxx, xxxxxx)
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Xxxxxx xxxxxxx nakládání:
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Vyplňuje osoba, xxxxx xxxxxxxxxxx xxxxxxxxxx xxxxx
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Xxxxxxxxxx látka (xxxxxxxx, xxxxxx)
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Xxxxxxxxxxx (kg)
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Získáno xx:
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Xxxxxxxx xxxxx, která xxxxxxxxxxx xxxxxxxxxx látky
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Regulovaná xxxxx (xxxxxxxx, vzorec)
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Recyklované xxxxxxxx (xx)
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Xxxxxxxx xxxxx, xxxxx regenerovala xxxxxxxxxx xxxxx
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Xxxxxxxxxx xxxxx (xxxxxxxx, vzorec)
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Regenerované xxxxxxxx (xx)
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a) xxxxxxxx xxxxxxxxxx xxxxxx x xxxxxx regulovaných látek, xxxxxxxxxxxx skleníkových xxxxx x xxxxx x xxxxx chladicího xxxxxx (xxxxxx X),
x) xxxxxxxx xxxxxxxx tepelně-izolačních xxxxxxxxx x obsahem regulovaných xxxxx a fluorovaných xxxxxxxxxxxx xxxxx, jiných xxxxxxxxx, částí xxxxxxxx, xxxx. xxxxxxxxxxxxx xxxxxxxx x xxxxx chladicího xxxxxxxx, xxxx za xxxxxx vhodných technických xxxxxxxx x cílem xxxxxxxx xxxxxxxxxxxx xxxxx xxx, aby xxxxxxx x xxxxxx xxxxx xx ovzduší (stupeň XX), jakož i
c) xxxxxxxxx x klasifikace xxxxx xxxxxxxxx x xxxxx stupně X x xxxxxx II, xxxxx jejich příprava xxx xxxxx xxxxxxx x zneškodnění.
Xxxxxx xxxxxxxx xxxx xxxxxxxx xxxxxxxx
Datum
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Druh ......*)
Xxxxxx xxxxxxxxxx okruhu
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Počet
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Izolační materiál
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Počet
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Freon
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Polyuretan x xxxxxxx
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Xxxxxxx
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Xxxxxxxxxx bez xxxxxx
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Xxxxxxxx xxxxxxxxx
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Xxxxxx xxxx/Xxxxxxxx
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xxxxx (bez xxxxxxxx)
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Xxxxx
----------------------
xxxxx (xxx chladiva)
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Poškozená xxxxxxx
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&xxxx;
&xx; 10 %
----------------------
&xx; 50 %
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Xxxxxxxx:
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1000 xx
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Xxxxx xxxxxxxx x xxxxxxxxx
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Hmotnost xxxxxxxxx xxxxx
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Datum:
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Místo xxxxxxx:
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Xxxxxxx xxxxxxx:
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Xxxxx xxxxxxx:
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Xxxxxxxxx:
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Xxxxx xxxxxxxx s izolací xxxxxxxxxxx
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1000 ks
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Kombinovaná xxxxxxxx
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&xxxx;
|
|
&xxxx;
Xxxxx xxxxxxxx x polyuretanem, xxx 1
|
ks
|
|
Počet xxxxxxxx x polyuretanem, typ 2
|
&xxxx;
xx
|
|
&xxxx;
Xxxxx xxxxxxxx x xxxxxxxxxxxx, xxx 3
|
&xxxx;
xx
|
|
&xxxx; | &xxxx;
|
|
&xxxx;
Xxxxxxxxxx xxxxxxxxx xxxxxxx xx xxxxx xxxxxxxx
xxx dané xxxxxxxxx zařízení (= xxxxxxxxxx / xxxxxxx xxxxx xxxxxxxx) x XXX-11/xxxxxxxx
|
||
&xxxx;
Xxxxxxxx xxxxxxx xxxxxxxx Xxxxxxxx xxxxxxxx
|
&xxxx;
Xxxxxxxx xxxxxxxx/xxxxxxxx
|
|
&xxxx;
Xxxxxxxx xxxxxxx xxxxxx xx XXX-11 xx
|
&xxxx; | |
&xxxx;
Xxxxxxxx naplněné xxxxxx xx
|
&xxxx; | |
&xxxx;
Xxxxxxx xxxxxxxx XXX-11 netto xx
|
&xxxx;
x/xxxxxxxx
|
|
&xxxx; | &xxxx; |