̲ͲÑÒÅÐÑÒÂÎ ÅÊÎËÎò¯ ÒÀ ÏÐÈÐÎÄÍÈÕ ÐÅÑÓÐѲ ÓÊÐÀ¯ÍÈ
ÍÀÊÀÇ
19.04.2013 |
ì. Êè¿â |
N 179 |
Çàðåºñòðîâàíî â ̳í³ñòåðñòâ³ þñòèö³¿
Óêðà¿íè
15 òðàâíÿ 2013 ð. çà N 739/23271
Ïðî çàïðîâàäæåííÿ ôîðì äîêóìåíòàö³¿ ï³äðîçä³ë³â ³íñòðóìåíòàëüíî-ëàáîðàòîðíîãî êîíòðîëþ Äåðæåêî³íñïåêö³¿ Óêðà¿íè òà ¿¿ òåðèòîð³àëüíèõ îðãàí³â
³äïîâ³äíî äî Ïîëîæåííÿ ïðî Äåðæàâíó åêîëîã³÷íó ³íñïåêö³þ Óêðà¿íè, çàòâåðäæåíîãî Óêàçîì Ïðåçèäåíòà Óêðà¿íè â³ä 13 êâ³òíÿ 2011 ðîêó N 454/2011, òà ç ìåòîþ óí³ô³êóâàííÿ äîêóìåíòàö³¿ ï³äðîçä³ë³â ³íñòðóìåíòàëüíî-ëàáîðàòîðíîãî êîíòðîëþ Äåðæàâíî¿ åêîëîã³÷íî¿ ³íñïåêö³¿ Óêðà¿íè òà ¿¿ òåðèòîð³àëüíèõ îðãàí³â
ÍÀÊÀÇÓÞ:
1. Çàòâåðäèòè ôîðìè äîêóìåíòàö³¿ ï³äðîçä³ë³â ³íñòðóìåíòàëüíî-ëàáîðàòîðíîãî êîíòðîëþ, ùî äîäàþòüñÿ:
1.1. Ïðîòîêîë âèì³ðþâàíü âì³ñòó çàáðóäíþþ÷èõ ðå÷îâèí â îðãàí³çîâàíèõ âèêèäàõ ñòàö³îíàðíèõ äæåðåë (äîäàòîê 1).
1.2. Àêò â³äáîðó ïðîá îðãàí³çîâàíèõ âèêèä³â ñòàö³îíàðíèõ äæåðåë (äîäàòîê 2).
1.3. Äîäàòîê äî Àêòà â³äáîðó ïðîá. Ïðîòîêîë âèì³ðþâàíü ïàðàìåòð³â ãàçîïèëîâîãî ïîòîêó (ïðè âèêîðèñòàíí³ ì³êðîìàíîìåòðà ³ âèì³ðþâàíü òèñêó â êÏà) (äîäàòîê 3).
1.4. Äîäàòîê äî Àêòà â³äáîðó ïðîá. Ïðîòîêîë âèì³ðþâàíü ïàðàìåòð³â ãàçîïèëîâîãî ïîòîêó (ïðè âèêîðèñòàíí³ ì³êðîìàíîìåòðà ³ âèì³ðþâàíü òèñêó â ìì ðò. ñò.) (äîäàòîê 4).
1.5. Äîäàòîê äî Àêòà â³äáîðó ïðîá. Ïðîòîêîë âèì³ðþâàíü ïàðàìåòð³â ãàçîïèëîâîãî ïîòîêó (ïðè âèêîðèñòàíí³ âèì³ðþâà÷à øâèäêîñò³ ³ âèì³ðþâàíü òèñêó â êÏà) (äîäàòîê 5).
1.6. Äîäàòîê äî Àêòà â³äáîðó ïðîá. Ïðîòîêîë âèì³ðþâàíü ïàðàìåòð³â ãàçîïèëîâîãî ïîòîêó (ïðè âèêîðèñòàíí³ âèì³ðþâà÷à øâèäêîñò³ ³ âèì³ðþâàíü òèñêó â ìì ðò. ñò.) (äîäàòîê 6).
1.7. Äîäàòîê äî Àêòà â³äáîðó ïðîá. Ðîçðàõóíîê âèòðàòè ãàçó ïðè â³äáîð³ ïðîá ðå÷îâèí ó âèãëÿä³ ñóñïåíäîâàíèõ òâåðäèõ ÷àñòèíîê (ïðè âèì³ðþâàíí³ òèñêó â êÏà) (äîäàòîê 7).
1.8. Äîäàòîê äî Àêòà â³äáîðó ïðîá. Ðîçðàõóíîê âèòðàòè ãàçó ïðè â³äáîð³ ïðîá ðå÷îâèí ó âèãëÿä³ ñóñïåíäîâàíèõ òâåðäèõ ÷àñòèíîê (ïðè ñòàíäàðòíîìó çíà÷åíí³ ãóñòèíè ãàçó ³ âèì³ðþâàíí³ òèñêó â êÏà) (äîäàòîê 8).
1.9. Äîäàòîê äî Àêòà â³äáîðó ïðîá. Ðîçðàõóíîê âèòðàòè ãàçó ïðè â³äáîð³ ïðîá ðå÷îâèí ó âèãëÿä³ ñóñïåíäîâàíèõ òâåðäèõ ÷àñòèíîê (ïðè ñòàíäàðòíîìó çíà÷åíí³ ãóñòèíè ãàçó ³ âèì³ðþâàíí³ òèñêó â ìì ðò. ñò.) (äîäàòîê 9).
1.10. Äîäàòîê äî Àêòà â³äáîðó ïðîá. Ïðîòîêîë âèì³ðþâàíü âì³ñòó çàáðóäíþþ÷èõ ðå÷îâèí â îðãàí³çîâàíèõ âèêèäàõ ñòàö³îíàðíèõ äæåðåë ïàëèâîâèêîðèñòîâóþ÷îãî îáëàäíàííÿ (äîäàòîê 10).
1.11. Ïðîòîêîë âèì³ðþâàíü âì³ñòó çàáðóäíþþ÷èõ ðå÷îâèí â îðãàí³çîâàíèõ âèêèäàõ ñòàö³îíàðíèõ äæåðåë ïàëèâîâèêîðèñòîâóþ÷îãî îáëàäíàííÿ (äîäàòîê 11).
1.12. Ïðîòîêîë âèì³ðþâàíü âì³ñòó åêîëîã³÷íèõ ïîêàçíèê³â íàôòîïðîäóêò³â (äîäàòîê 12).
1.13. Ïðîòîêîë âèì³ðþâàíü ïîêàçíèê³â ñêëàäó òà âëàñòèâîñòåé âîä (äîäàòîê 13).
1.14. Ïðîòîêîë âèçíà÷åííÿ ãîñòðî¿ òîêñè÷íîñò³ âîä (äîäàòîê 14).
1.15. Ïðîòîêîë âèçíà÷åííÿ õðîí³÷íî¿ òîêñè÷íîñò³ âîä (äîäàòîê 15).
1.16. Àêò â³äáîðó ïðîá âîä (äîäàòîê 16).
1.17. Ïðîòîêîë âèì³ðþâàíü ïîêàçíèê³â ñêëàäó òà âëàñòèâîñòåé ´ðóíò³â (äîäàòîê 17).
1.18. Ïðîòîêîë âèì³ðþâàíü ïîêàçíèê³â ñêëàäó òà âëàñòèâîñòåé â³äõîä³â (äîäàòîê 18).
1.19. Àêò â³äáîðó ïðîá ´ðóíò³â (äîäàòîê 19).
1.20. Àêò â³äáîðó ïðîá â³äõîä³â (äîäàòîê 20).
2. Äåðæàâí³é åêîëîã³÷í³é ³íñïåêö³¿ Óêðà¿íè (Æèëà Ï. Á.) çàáåçïå÷èòè ïîäàííÿ öüîãî íàêàçó íà äåðæàâíó ðåºñòðàö³þ äî ̳í³ñòåðñòâà þñòèö³¿ Óêðà¿íè â óñòàíîâëåíîìó çàêîíîäàâñòâîì ïîðÿäêó.
3. Öåé íàêàç íàáèðຠ÷èííîñò³ ç äíÿ éîãî îô³ö³éíîãî îïóáë³êóâàííÿ.
4. Êîíòðîëü çà âèêîíàííÿì öüîãî íàêàçó ïîêëàñòè íà çàñòóïíèêà ̳í³ñòðà - êåð³âíèêà àïàðàòó Ìîðìóëÿ Ä. Ä.
̳í³ñòð |
Î. À. Ïðîñêóðÿêîâ |
ÏÎÃÎÄÆÅÍÎ: |
|
Ãîëîâà
Äåðæàâíî¿ ñëóæáè Óêðà¿íè |
Ì. Þ. Áðîäñüêèé |
Ãîëîâà
Äåðæàâíî¿ |
Ï. Á. Æèëà |
Äîäàòîê 1
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
ÓÊÐÀ¯ÍÀ
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÏÐÎÒÎÊÎË N _______
âèì³ðþâàíü âì³ñòó çàáðóäíþþ÷èõ ðå÷îâèí â
îðãàí³çîâàíèõ âèêèäàõ ñòàö³îíàðíèõ äæåðåë
â³ä "___" ____________ ____ ð.
³äïîâ³äíî äî Àêòà â³äáîðó ïðîá îðãàí³çîâàíèõ âèêèä³â ñòàö³îíàðíèõ äæåðåë â³ä
____________ N _________
_________________________________________________________, 1. ³äá³ð ïðîá òà âèì³ðþâàííÿ ïðîâåäåí³ â³äïîâ³äíî äî: ÊÍÄ 211.2.3.063-98 "Ìåòðîëîã³÷íå çàáåçïå÷åííÿ. ³äá³ð ïðîá ïðîìèñëîâèõ âèêèä³â. ²íñòðóêö³ÿ" (ç³ çì³íàìè); ìåòîäèê
âèêîíàííÿ âèì³ðþâàíü (ÌÂÂ),
äîïóùåíèõ äî âèêîðèñòàííÿ òà
íàâåäåíèõ ó Ïåðåë³êó ÌÂÂ, ùî íå
óâ³éøëè äî Ïåðåë³êó:
_______________________________________________________ 2. Ïðè
âèì³ðþâàíí³ çàñòîñîâàí³ òàê³ îñíîâí³
çàñîáè âèì³ðþâàëüíî¿ òåõí³êè (äàë³ -
ÇÂÒ): 3. Ïåðåðàõóíîê
âì³ñòó ÇÐ ó âèêèäàõ
ïàëèâîâèêîðèñòîâóþ÷îãî îáëàäíàííÿ íà
â³äïîâ³äíó îá'ºìíó ÷àñòêó êèñíþ,
âèêîíàíèé â³äïîâ³äíî äî íàêàçó
̳íïðèðîäè Óêðà¿íè â³ä 27 ÷åðâíÿ
2006 ðîêó N 309 "Ïðî çàòâåðäæåííÿ
íîðìàòèâ³â ãðàíè÷íîäîïóñòèìèõ
âèêèä³â çàáðóäíþþ÷èõ ðå÷îâèí ³ç
ñòàö³îíàðíèõ äæåðåë",
çàðåºñòðîâàíîãî â ̳í³ñòåðñòâ³
þñòèö³¿ Óêðà¿íè 01 ñåðïíÿ 2006 ðîêó
çà N 912/12786, òà/àáî òåõíîëîã³÷íèõ
íîðìàòèâ³â: Ñòîð. 1, âñüîãî ñòîð. _____ |
4. Íàçâà äîêóìåíòà, ùî ðåãëàìåíòóº çíà÷åííÿ íîðìàòèâ³â âèêèä³â, íàâåäåíèõ ó ðîçä³ë³ 5: Äîçâ³ë íà
âèêèäè çàáðóäíþþ÷èõ ðå÷îâèí â
àòìîñôåðíå ïîâ³òðÿ ñòàö³îíàðíèìè
äæåðåëàìè âèêèä³â N _______ âèäàíèé 5. Ðåçóëüòàòè âèì³ðþâàíü |
Äàòè â³äáîðó
ïðîá òà âèì³ðþ- |
Íàçâè âèðîáíèöòâà, öåõó, ä³ëüíèö³, äæåðåëà óòâîðåííÿ ÇÐ, õàðàêòåðèñòèêà òà íàâàíòàæåííÿ ï³ä ÷àñ â³äáîðó ïðîá |
Íîìåð, íàçâà
ÄÂ, ÄÓ; |
Ïàðàìåòðè
ãàçîïèëîâîãî ïîòîêó |
Íàçâà ÇÐ |
Íîìåð îá'ºäí. ïðîáè |
Ìàñîâà êîíöåíòðàö³ÿ ÇÐ, rB |
Ìàñîâà âèòðàòà
âèêèäó ÇÐ, |
Íîðìàòèâ âèêèäó |
³äîìîñò³ ïðî Ì |
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êîíöåíòðàö³ÿ |
ìàñîâà âèòðàòà
âèêèäó ÇÐ |
||||||||||||||||
ìã/ì3 |
ó ïåðå- |
rB, |
rB |
øèôð ÌÂÂ |
ïîõèáêà
âèì³ðþâàííÿ,** |
||||||||||||
òåìïå- |
øâèä- |
îá'ºìíà
âèòðàòà |
âì³ñò êèñíþ |
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êîíöåí- |
ìàñîâî¿
âèòðàòè, |
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____________ ** d - ïîçíà÷åííÿ õàðàêòåðèñòèê â³äíîñíî¿ ïîõèáêè òà D - ïîçíà÷åííÿ õàðàêòåðèñòèê àáñîëþòíî¿ ïîõèáêè ïðè äîâ³ð÷³é éìîâ³ðíîñò³ Ð = 0,95. |
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Ïðèì³òêà. |
Íà÷àëüíèê ï³äðîçä³ëó |
________________________________________________________ |
|
Âèêîíàâö³ |
________________________________________________________ |
|
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Ñòîð. __, âñüîãî ñòîð. _____ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 2
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
ÓÊÐÀ¯ÍÀ
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÀÊÒ
â³äáîðó ïðîá îðãàí³çîâàíèõ âèêèä³â
ñòàö³îíàðíèõ äæåðåë
â³ä "___" ____________ ____ ð. |
N ________ |
ì. ___________________ |
Íàìè,
_______________________________________________________________________________ 1. ³äá³ð ïðîá âèêîíàíî â³äïîâ³äíî äî âèìîã ÷èííèõ íîðìàòèâíèõ äîêóìåíò³â (äàë³ - ÍÄ): ÊÍÄ
211.2.3.063-98 "Ìåòðîëîã³÷íå
çàáåçïå÷åííÿ. ³äá³ð ïðîá
ïðîìèñëîâèõ âèêèä³â. ²íñòðóêö³ÿ" 2. Çàñîáè
âèì³ðþâàëüíî¿ òåõí³êè (ÇÂÒ) òà
äîïîì³æíå îáëàäíàííÿ, ùî
çàñòîñîâóâàëèñü ïðè â³äáîð³ |
3. Ïàñïîðò ïðîáè Àêò â³äáîðó ïðîá îðãàí³çîâàíèõ âèêèä³â ñòàö³îíàðíèõ äæåðåë â³ä ____________ N _____, àðê. ____ (ñòîð. ____) |
Äàòà, ÷àñ â³äáîðó ïðîáè |
Äæåðåëî âèêèäó |
Íàçâà ÇÐ |
Íîìåð ïðîáè |
Îá'ºìíà
âèòðàòà ãàçó, |
Òðèâà- |
Ïåðåä ðîòàìåòðîì |
Îá'ºì â³ä³áðàíîãî ãàçó, äì3 |
Ðåçóëüòàòè
âèì³ðþâàíü ãàçîàíàë³çàòîð³â
(ÀÌ-5, òðóáêè ³íäèêàòîðí³ ÒÈ). |
|||
íàçâà âèðîáíèöòâà, öåõó, ä³ëüíèö³, òåõíîëîã³÷íîãî îáëàäíàííÿ (ÄÓ); íàâàíòàæåííÿ ï³ä ÷àñ â³äáîðó |
íîìåð (íàçâà) |
òåìïåðà- |
òèñê, |
çà ðîáî÷èõ
óìîâ, |
çâåäåíèé äî
í.ó., |
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ÄÂ; òî÷êè |
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4. Äîäàòêîâ³ â³äîìîñò³ ùîäî óìîâ â³äáîðó òà â³ä³áðàíèõ ïðîá: 4.1. Òåìïåðàòóðà íàâêîëèøíüîãî ñåðåäîâèùà á³ëÿ ì³ñöÿ â³äáîðó ïðîá __________ °C. Àòìîñôåðíèé òèñê ___________ êÏà; 4.2. ²íøå _________________________________________________________________________________________________________________. Äî Àêòà
â³äáîðó ïðîá îðãàí³çîâàíèõ âèêèä³â
ñòàö³îíàðíèõ äæåðåë äîäàþòüñÿ:
_______________________________________________________ Àêò ç
äîäàòêîì(àìè):
__________________________ ñêëàäåíî
íà _______ àðê. ó _______ ïðèì., ó
òîìó ÷èñë³ äîäàòîê(êè) íà __________
àðê. |
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Âèêîíàâö³ |
__________________________________________ |
|
Ïðåäñòàâíèê |
|
Ïðîáè
äîñòàâëåí³ äëÿ ïðîâåäåííÿ
âèì³ðþâàíü
________________________________________________________________________________ Çàóâàæåííÿ ùîäî ñòàíó ïðîá ³ çàïèñ³â _______________________________________________________________________________________ Âèñíîâîê ùîäî ïðèäàòíîñò³ ïðîá äëÿ ïðîâåäåííÿ âèì³ðþâàíü: 1. Ïðèäàòí³ âñ³ ïðîáè _____________________________________ 2. Íå
ïðèäàòí³ ïðîáè N
______________________________________ ___________________________________________________ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 3
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
Äîäàòîê __ äî Àêòà â³äáîðó ïðîá â³ä ____________ N ___ |
Ïðîòîêîë âèì³ðþâàíü ïàðàìåòð³â
ãàçîïèëîâîãî ïîòîêó
(ïðè âèêîðèñòàíí³ ì³êðîìàíîìåòðà ³
âèì³ðþâàíü òèñêó â êÏà)
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 4
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
Äîäàòîê __ äî Àêòà â³äáîðó ïðîá â³ä ____________ N ____ |
Ïðîòîêîë âèì³ðþâàíü ïàðàìåòð³â
ãàçîïèëîâîãî ïîòîêó
(ïðè âèêîðèñòàíí³ ì³êðîìàíîìåòðà ³
âèì³ðþâàíü òèñêó â ìì ðò. ñò.)
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 5
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
Äîäàòîê __ äî Àêòà â³äáîðó ïðîá â³ä ____________ N ____ |
Ïðîòîêîë âèì³ðþâàíü ïàðàìåòð³â
ãàçîïèëîâîãî ïîòîêó
(ïðè âèêîðèñòàíí³ âèì³ðþâà÷à øâèäêîñò³ ³
âèì³ðþâàíü òèñêó â êÏà)
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 6
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
Äîäàòîê __ äî Àêòà â³äáîðó ïðîá â³ä ____________ N ____ |
Ïðîòîêîë âèì³ðþâàíü ïàðàìåòð³â
ãàçîïèëîâîãî ïîòîêó
(ïðè âèêîðèñòàíí³ âèì³ðþâà÷à øâèäêîñò³ ³
âèì³ðþâàíü òèñêó â ìì ðò. ñò.)
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 7
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
Äîäàòîê __ äî Àêòà â³äáîðó ïðîá â³ä ____________ N ______ |
Ðîçðàõóíîê âèòðàòè ãàçó ïðè â³äáîð³ ïðîá
ðå÷îâèí ó âèãëÿä³ ñóñïåíäîâàíèõ òâåðäèõ
÷àñòèíîê
(ïðè âèì³ðþâàíí³ òèñêó â êÏà)
(ïèëó òà àåðîçîë³â ïðè ð - â êÏà, ä³àìåòð³ ïèëîâ³äá³ðíî¿ òðóáêè dòð = 6 ìì, ãóñòèí³ ãàçó rî = ___ êã/ì3, ãóñòèí³ ãàçó ïðè ãðàäóþâàíí³ ðîòàìåòðà rê = ____ êã/ì3)
Íîìåð |
Øâèäê³ñòü, |
Ïèëîâ³äá³ðíèé íàêîíå÷íèê |
qvð, (0,0471 d 2 ) |
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tð, °C |
Òð,
Ê |
ðð, êÏà |
, |
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qvð',
äì3/õâ |
Òðèâàë³ñòü
â³äáîðó, |
V, |
|||||
ÄÂ, |
òî÷êè ïî ïåðåð³çó ãàçîõîäó |
ì/ñ |
Ö |
d = 24 / Ö , ìì |
d 2, ìì2 |
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ðîçð. |
ôàêò. |
ðîçð. |
ôàêò. |
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7 |
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18 |
19 |
20 |
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Vî = 1,583 V õ Ö (ðð' / Òð) = |
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Ïðèì³òêà. Çíà÷åííÿ ãðàôè 20 ìîæóòü ðîçðàõîâóâàòèñü ï³ñëÿ ñêëàäàííÿ Àêòà â³äáîðó ïðîá. |
Âèêîíàâö³ |
_____________________________________________________________________________________________________________ |
|
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 8
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
Äîäàòîê __ äî Àêòà â³äáîðó ïðîá â³ä ____________ N ______ |
Ðîçðàõóíîê âèòðàòè ãàçó ïðè â³äáîð³ ïðîá
ðå÷îâèí ó âèãëÿä³ ñóñïåíäîâàíèõ òâåðäèõ
÷àñòèíîê
(ïðè ñòàíäàðòíîìó çíà÷åíí³ ãóñòèíè ãàçó ³
âèì³ðþâàíí³ òèñêó â êÏà)
(ïèëó òà àåðîçîë³â ïðè ð - â êÏà, ä³àìåòð³ ïèëîâ³äá³ðíî¿ òðóáêè dòð = 6 ìì, ãóñòèí³ ãàçó rî = 1,29 êã/ì3, ãóñòèí³ ãàçó ïðè ãðàäóþâàíí³ ðîòàìåòðà rê = 1,20 êã/ì3)
Íîìåð |
Øâèäê³ñòü, |
Ïèëîâ³äá³ðíèé íàêîíå÷íèê |
qvð, |
|
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tð, |
Òð, |
ðð, |
ðð', |
|
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qvð',
äì3/õâ |
Òðèâàë³ñòü
â³äáîðó, |
V,
äì3 |
|||||
ÄÂ, |
òî÷êè ïî ïåðåð³çó ãàçîõîäó |
ì/ñ |
Ö |
d = 24
/
Ö , |
d 2, ìì2 |
||||||||||||||
ðîçð. |
ôàêò. |
ðîçð. |
ôàêò. |
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1 |
2 |
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5 |
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7 |
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11 |
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13 |
14 |
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16 |
17 |
18 |
19 |
20 |
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Vî = 1,583 V õ Ö ðð' /Òð = |
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Ïðèì³òêà. Çíà÷åííÿ ãðàôè 20 ìîæóòü ðîçðàõîâóâàòèñü ï³ñëÿ ñêëàäàííÿ Àêòà â³äáîðó ïðîá. |
Âèêîíàâö³ |
____________________________________________________________________________________________________________ |
|
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 9
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
Äîäàòîê __ äî Àêòà â³äáîðó ïðîá â³ä ____________ N _____ |
Ðîçðàõóíîê âèòðàòè ãàçó ïðè â³äáîð³ ïðîá
ðå÷îâèí ó âèãëÿä³ ñóñïåíäîâàíèõ òâåðäèõ
÷àñòèíîê
(ïðè ñòàíäàðòíîìó çíà÷åíí³ ãóñòèíè ãàçó ³
âèì³ðþâàíí³ òèñêó â ìì ðò. ñò.)
(ïèëó òà àåðîçîë³â ïðè ð - â ìì ðò. ñò., ä³àìåòð³ ïèëîâ³äá³ðíî¿ òðóáêè dòð = 6 ìì, ãóñòèí³ ãàçó rî = 1,29 êã/ì3, ãóñòèí³ ãàçó ïðè ãðàäóþâàíí³ ðîòàìåòðà rê = 1,20 êã/ì3)
Íîìåð |
Øâèäê³ñòü, |
Ïèëîâ³äá³ðíèé íàêîíå÷íèê |
qvð, |
|
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tð, |
Òð, |
ðð, |
ðð', |
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q¢vð,
äì3/õâ |
Òðèâàë³ñòü
â³äáîðó, |
V, |
|||||
ÄÂ, |
òî÷êè ïî ïåðåð³çó ãàçîõîäó |
ì/ñ |
Ö |
d = 24 / Ö , ìì |
d 2, ìì2 |
||||||||||||||
ðîçð. |
ôàêò. |
ðîçð. |
ôàêò. |
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1 |
2 |
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6 |
7 |
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18 |
19 |
20 |
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Vî = 0,578 V õ Ö ðð' / Òð = |
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Ïðèì³òêà. Çíà÷åííÿ ãðàôè 20 ìîæóòü ðîçðàõîâóâàòèñü ï³ñëÿ ñêëàäàííÿ Àêòà â³äáîðó ïðîá. |
Âèêîíàâö³ |
________________________________________________________________________________________________________ |
|
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 10
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
Äîäàòîê __ äî Àêòà â³äáîðó ïðîá â³ä ____________ N _____ |
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÏÐÎÒÎÊÎË N _______
âèì³ðþâàíü âì³ñòó çàáðóäíþþ÷èõ ðå÷îâèí â
îðãàí³çîâàíèõ âèêèäàõ ñòàö³îíàðíèõ äæåðåë
ïàëèâîâèêîðèñòîâóþ÷îãî îáëàäíàííÿ
â³ä "___" ____________ 20__ ð.
Íàìè,
_______________________________________________________________________________ 1. Âèì³ðþâàííÿ âèêîíàí³ â³äïîâ³äíî äî âèìîã: 1.1. ÊÍÄ 211.2.3.063-98 "Ìåòðîëîã³÷íå çàáåçïå÷åííÿ. ³äá³ð ïðîá ïðîìèñëîâèõ âèêèä³â. ²íñòðóêö³ÿ" (ç³ çì³íàìè); 1.2. Ïàñïîðòà (Êåð³âíèöòâà ç åêñïëóàòàö³¿) ãàçîàíàë³çàòîðà _______________________. 2. Çàñîáè âèì³ðþâàëüíî¿ òåõí³êè (ÇÂÒ) òà äîïîì³æíå îáëàäíàííÿ, ùî çàñòîñîâóâàëèñü ïðè â³äáîð³ ïðîá. |
Íàçâà ÇÂÒ òà îáëàäíàííÿ |
Çàâîäñüêèé íîìåð |
³äîìîñò³ ïðî ïîâ³ðêó ÇÂÒ |
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3. Ïàñïîðò ïðîáè |
Äàòà, ÷àñ âèì³ðþâàííÿ (ïî÷àòîê, çàê³í÷åííÿ) |
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Íîìåð
(íàçâà) äæåðåëà âèêèäó (ÄÂ) |
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Íîìåð (íàçâà) âèðîáíèöòâà, öåõó, ä³ëüíèö³ |
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Âèä ïàëèâà òà íàâàíòàæåííÿ òåõíîëîã³÷íîãî îáëàäíàííÿ ï³ä ÷àñ âèì³ðþâàíü |
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Íîìåð (íàçâà) òî÷êè (ì³ñöÿ) âèì³ðþâàííÿ |
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Òðèâàë³ñòü îäíîãî öèêëó âèì³ðþâàííÿ Ò, õâ. |
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Íîìåð îá'ºäíàíî¿ òà òî÷êîâî¿ ïðîáè |
Ïîêàç ÇÂÒ |
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jCO, |
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jNO, |
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tã, |
h |
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(KrCO = 1,25) |
(KrSO2 = 2,86) |
(KrNO = 1,34) |
(KrNO2 = 2,05) |
(KrNOx = 2,05) |
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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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(å1-4)/4 |
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, ìã/ì3 |
õ |
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õ |
õ |
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õ |
õ |
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õ |
õ |
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2-1 |
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2-2 |
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2-3 |
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2-4 |
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(å1-4)/4 |
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, ìã/ì3 |
õ |
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õ |
õ |
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õ |
õ |
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õ |
õ |
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3-1 |
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3-2 |
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3-3 |
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3-4 |
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(å1-4)/4 |
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, ìã/ì3 |
õ |
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õ |
õ |
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õ |
õ |
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õ |
õ |
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4. Äîäàòêîâ³ â³äîìîñò³ ùîäî óìîâ ïðîâåäåííÿ â³äáîðó ïðîá: 4.1. Òåìïåðàòóðà íàâêîëèøíüîãî ñåðåäîâèùà á³ëÿ ì³ñöÿ â³äáîðó ïðîá _______ °C; 4.2. Àòìîñôåðíèé òèñê ________ êÏà (ìì ðò. ñò.); 4.3. Óìîâè,
íå ïåðåäáà÷åí³ ÊÍÄ 211.2.3.063-98
____________________________________________ Ïðèì³òêà.
____________________________________________________________________________ |
Âèêîíàâö³ |
________________________ |
Ïðåäñòàâíèê |
|
Ñòîð. ___, âñüîãî ñòîð. ____ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 11
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
ÓÊÐÀ¯ÍÀ
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÏÐÎÒÎÊÎË N _______
âèì³ðþâàíü âì³ñòó çàáðóäíþþ÷èõ ðå÷îâèí â
îðãàí³çîâàíèõ âèêèäàõ ñòàö³îíàðíèõ äæåðåë
ïàëèâîâèêîðèñòîâóþ÷îãî îáëàäíàííÿ
â³ä "___" ____________ 20__ ð.
Íàìè,
_______________________________________________________________________________ 1. Âèì³ðþâàííÿ âèêîíàí³ â³äïîâ³äíî äî âèìîã: 1.1. ÊÍÄ 211.2.3.063-98 "Ìåòðîëîã³÷íå çàáåçïå÷åííÿ. ³äá³ð ïðîá ïðîìèñëîâèõ âèêèä³â. ²íñòðóêö³ÿ" (ç³ çì³íàìè); 1.2. Ïàñïîðòà (Êåð³âíèöòâà ç åêñïëóàòàö³¿) ãàçîàíàë³çàòîðà _________________________________. 2. Çàñîáè âèì³ðþâàëüíî¿ òåõí³êè (ÇÂÒ) òà äîïîì³æíå îáëàäíàííÿ, ùî çàñòîñîâóâàëèñü ïðè â³äáîð³ ïðîá |
Íàçâà ÇÂÒ òà îáëàäíàííÿ |
Çàâîäñüêèé íîìåð |
³äîìîñò³ ïðî ïîâ³ðêó ÇÂÒ |
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3. Ïàñïîðò ïðîáè |
Äàòà, ÷àñ âèì³ðþâàííÿ (ïî÷àòîê, çàê³í÷åííÿ) |
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Íîìåð
(íàçâà) äæåðåëà âèêèäó (ÄÂ) |
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Íîìåð (íàçâà) âèðîáíèöòâà, öåõó, ä³ëüíèö³ |
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Âèä ïàëèâà òà íàâàíòàæåííÿ òåõíîëîã³÷íîãî îáëàäíàííÿ ï³ä ÷àñ âèì³ðþâàíü |
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Íîìåð (íàçâà) òî÷êè (ì³ñöÿ) âèì³ðþâàííÿ |
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Òðèâàë³ñòü îäíîãî öèêëó âèì³ðþâàííÿ Ò, õâ. |
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Íîìåð îá'ºäíàíî¿ òà òî÷êîâî¿ ïðîáè |
Ïîêàç ÇÂÒ |
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jCO, |
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jNO, |
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tã, |
h |
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(KrCO = 1,25) |
(KrSO2 = 2,86) |
(KrNO = 1,34) |
(KrNO2 = 2,05) |
(KrNOx = 2,05) |
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1-1 |
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(å1-4)/4 |
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, ìã/ì3 |
õ |
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õ |
õ |
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õ |
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(å1-4)/4 |
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, ìã/ì3 |
õ |
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õ |
õ |
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õ |
õ |
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õ |
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(å1-4)/4 |
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, ìã/ì3 |
õ |
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õ |
õ |
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õ |
õ |
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õ |
õ |
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4. Äîäàòêîâ³ â³äîìîñò³ ùîäî óìîâ ïðîâåäåííÿ â³äáîðó ïðîá: 4.1. Òåìïåðàòóðà íàâêîëèøíüîãî ñåðåäîâèùà á³ëÿ ì³ñöÿ â³äáîðó ïðîá ____ °C; 4.2. Àòìîñôåðíèé òèñê ________ êÏà (ìì ðò. ñò.); 4.3. Óìîâè,
íå ïåðåäáà÷åí³ ÊÍÄ 211.2.3.063-98
____________________________________________ Ïðèì³òêà. ____________________________________________________________________________ |
Âèêîíàâö³ |
________________________ |
Ïðåäñòàâíèê |
|
Ñòîð. ___, âñüîãî ñòîð. ____ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 12
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
ÓÊÐÀ¯ÍÀ
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
_____________________________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÏÐÎÒÎÊÎË N _______
âèì³ðþâàíü âì³ñòó åêîëîã³÷íèõ ïîêàçíèê³â
íàôòîïðîäóêò³â
â³ä "___" ____________ 20__ ð.
³äïîâ³äíî
äî Àêòà â³äáîðó ïðîá íàôòîïðîäóêò³â,
ÿê³ ðåàë³çóþòüñÿ øëÿõîì îïòîâî¿ òà
ðîçäð³áíî¿ òîðã³âë³ â³ä ____________
N _______
____________________________________________________ _____________________________________________________________________________________ 1.
Âèì³ðþâàííÿ ïðîâåäåí³ â³äïîâ³äíî äî
âèìîã ÷èííèõ íîðìàòèâíèõ äîêóìåíò³â
(äàë³ - ÍÄ): 2. Ïðè
âèì³ðþâàíí³ çàñòîñîâàí³ òàê³ îñíîâí³
çàñîáè âèì³ðþâàëüíî¿ òåõí³êè (äàë³ -
ÇÂÒ): 3. Íàçâà
äîêóìåíòà, ùî ðåãëàìåíòóº çíà÷åííÿ
íîðìàòèâ³â åêîëîã³÷íèõ ïîêàçíèê³â,
ùî íàâåäåí³ â ðîçä³ë³ 4: Ñòîð. 1, âñüîãî ñòîð. __ |
4. Ðåçóëüòàòè âèì³ðþâàíü |
Äàòà â³äáîðó ïðîá |
Íîìåð |
Äàòà ïðîâåäåííÿ âèì³ðþâàíü |
Íàçâà òà òèï íàôòîïðîäóêòó |
Ïîêàçíèê |
³äîìîñò³ ïðî Ì |
||||||
àêòà â³äáîðó ïðîá |
ïðîáè |
íàçâà |
ïîçíà÷åííÿ îäèíèö³ âèì³ðþâàííÿ |
ðåçóëüòàò âèì³ðþâàííÿ |
íîðìîâàíå çíà÷åííÿ |
ïîçíà÷åííÿ |
ïîõèáêà âèì³ðþâàííÿ d, (D)* |
||||
çà àêòîì â³äáîðó |
ðåºñòðà- |
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____________ |
Íà÷àëüíèê ï³äðîçä³ëó |
_________________________________________________ |
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Âèêîíàâö³ |
_________________________________________________ |
|
Ñòîð. ___, âñüîãî ñòîð. ___ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 13
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
ÓÊÐÀ¯ÍÀ
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÏÐÎÒÎÊÎË N _______
âèì³ðþâàíü ïîêàçíèê³â ñêëàäó òà âëàñòèâîñòåé
âîä
â³ä "___" ____________ ____ ð.
³äïîâ³äíî
äî Àêòà â³äáîðó ïðîá âîä â³ä
______________ N ________
________________________ 1. ³äá³ð ïðîá âîä ïðîâåäåíî â³äïîâ³äíî äî ÷èííèõ íîðìàòèâíèõ äîêóìåíò³â (äàë³ - ÍÄ), ïåðåë³ê ÿêèõ íàâåäåíèé â Àêò³ â³äáîðó ïðîá âîä. 2. Âèì³ðþâàííÿ ïðîâåäåí³ â³äïîâ³äíî äî: ìåòîäèê
âèêîíàííÿ âèì³ðþâàíü (äàë³ - ÌÂÂ),
äîïóùåíèõ äî âèêîðèñòàííÿ òà
íàâåäåíèõ ó Ïåðåë³êó ÌÂÂ, ùî íå
óâ³éøëè äî Ïåðåë³êó:
_______________________________________________________ 3. Ïðè
âèì³ðþâàíí³ çàñòîñîâàí³ òàê³ îñíîâí³
çàñîáè âèì³ðþâàëüíî¿ òåõí³êè:
____________________ 4. Íàçâà äîêóìåíòà, ÿêèé ðåãëàìåíòóº íîðìîâàí³ çíà÷åííÿ âì³ñòó ïîêàçíèê³â, ùî íàâåäåí³ â ðîçä³ë³ 5. 4.1. Ïîâåðõíåâ³ âîäè - ãðàíè÷íî äîïóñòèìà êîíöåíòðàö³ÿ (äàë³ - ÃÄÊ) çà: 4.1.1.
________________________________________________________________________________; 4.1.2.
________________________________________________________________________________. 4.2.
Çâîðîòí³ âîäè - äîïóñòèìà
êîíöåíòðàö³ÿ ÑÄ,
íàâåäåíà â "Ãðàíè÷íî äîïóñòèìîìó
ñêèä³ (ÃÄÑ) ðå÷îâèí ó âîäíèé îá'ºêò
³ç çâîðîòíèìè âîäàìè ï³äïðèºìñòâà",
ðåãëàìåíò³ òîùî, çàòâåðäæåíîìó 4.3. ϳäçåìí³ âîäè (³ç ñïîñòåðåæóâàëüíèõ ñâåðäëîâèí) - äîïóñòèìà êîíöåíòðàö³ÿ ÑÄ
_____________________________________________________________________________________ Ñòîð. 1, âñüîãî ñòîð. ____ |
5. Ðåçóëüòàòè âèì³ðþâàíü |
Äàòè â³äáîðó òà âèì³ðþâàííÿ |
Íîìåð ïðîáè |
Òî÷êà ³ ì³ñöå â³äáîðó (ïðèâ'ÿçêà äî ì³ñöåâîñò³) |
Ïîêàçíèê |
³äîìîñò³ ïðî Ì |
||||||||
çà àêòîì â³äáîðó |
ðåºñòðàö³éíèé |
íàçâà |
ïîçíà÷åííÿ îäèíèö³ âèì³ðþâàííÿ |
ðåçóëüòàò âèì³ðþâàííÿ |
íîðìîâàíå çíà÷åííÿ |
øèôð |
ïîõèáêà
âèì³ðþâàííÿ, Ð = 0,95 |
|||||
ÃÄÊ |
ÑÄ |
ÑÄ |
||||||||||
çà 4.1.1 |
çà 4.1.2 |
çà 4.2 |
çà 4.3 |
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____________ |
Íà÷àëüíèê ï³äðîçä³ëó |
______________________________________ |
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Âèêîíàâö³ |
______________________________________ |
|
Ñòîð. ___, âñüîãî ñòîð. ____ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 14
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
ÓÊÐÀ¯ÍÀ
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÏÐÎÒÎÊÎË N ________
âèçíà÷åííÿ ãîñòðî¿ òîêñè÷íîñò³ âîä
â³ä "___" ____________ ____ ð.
³äïîâ³äíî
äî Àêòà â³äáîðó ïðîá âîä â³ä
____________ N ________
___________________________ 1. ³äá³ð ïðîá âîä ïðîâåäåíî â³äïîâ³äíî äî ÷èííèõ íîðìàòèâíèõ äîêóìåíò³â (äàë³ - ÍÄ), ïåðåë³ê ÿêèõ íàâåäåíèé â Àêò³ â³äáîðó ïðîá âîä. 2. Âèçíà÷åííÿ ãîñòðî¿ òîêñè÷íîñò³ ïðîâåäåíî â³äïîâ³äíî äî: ìåòîäèê
âèêîíàííÿ âèì³ðþâàíü (äàë³ - ÌÂÂ),
äîïóùåíèõ äî âèêîðèñòàííÿ òà
íàâåäåíèõ ó Ïåðåë³êó ÌÂÂ, ùî íå
óâ³éøëè äî Ïåðåë³êó:
_______________________________________________________ 3. Îö³íêà
ÿêîñò³ çâîðîòíèõ âîä çà êëàñîì ³
ñòóïåíåì òîêñè÷íîñò³ ïðîâåäåíà
â³äïîâ³äíî äî 4. Íîðìîâàí³
çíà÷åííÿ ïîêàçíèê³â (êëàñ òà ñòóï³íü
òîêñè÷íîñò³) íàâåäåí³ ó "Ãðàíè÷íî
äîïóñòèìîìó ñêèä³ (ÃÄÑ) ðå÷îâèí ó
âîäíèé îá'ºêò ³ç çâîðîòíèìè âîäàìè
ï³äïðèºìñòâà", ðåãëàìåíò³ òîùî,
çàòâåðäæåíîìó Ñòîð. 1, âñüîãî ñòîð. ___ |
5. Ðåçóëüòàòè âèçíà÷åíü |
Äàòè â³äáîðó òà âèçíà÷åííÿ |
Íîìåð ïðîáè |
Òî÷êà ³
ì³ñöå â³äáîðó |
Ïîêàçíèê |
³äîìîñò³ ïðî Ì |
||||
çà àêòîì â³äáîðó |
ðåºñòðàö³éíèé |
íàçâà |
ðåçóëüòàò âèçíà÷åííÿ |
íîðìîâàíå çíà÷åííÿ |
øèôð/íàçâà |
ïîõèáêà
âèçíà÷åííÿ, |
||
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____________ |
Íà÷àëüíèê ï³äðîçä³ëó |
______________________________________ |
|
Âèêîíàâö³ |
______________________________________ |
|
Ñòîð. ___, âñüîãî ñòîð. ____ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 15
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
ÓÊÐÀ¯ÍÀ
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÏÐÎÒÎÊÎË N __________________
âèçíà÷åííÿ õðîí³÷íî¿ òîêñè÷íîñò³ âîä
â³ä "___" ____________ ____ ð.
³äïîâ³äíî
äî Àêòà â³äáîðó ïðîá âîä â³ä
____________ N
___________________________________ 1. ³äá³ð ïðîá âîä ïðîâåäåíî â³äïîâ³äíî äî ÷èííèõ íîðìàòèâíèõ äîêóìåíò³â (äàë³ - ÍÄ), ïåðåë³ê ÿêèõ íàâåäåíèé â Àêò³ â³äáîðó ïðîá âîä. 2. Âèçíà÷åííÿ õðîí³÷íî¿ òîêñè÷íîñò³ ïðîâåäåíî â³äïîâ³äíî äî: ìåòîäèê
âèêîíàííÿ âèì³ðþâàíü (äàë³ - ÌÂÂ),
äîïóùåíèõ äî âèêîðèñòàííÿ òà
íàâåäåíèõ ó Ïåðåë³êó ÌÂÂ, ùî íå
óâ³éøëè äî Ïåðåë³êó:
_______________________________________________________ 3. Íîðìîâàí³
çíà÷åííÿ ïîêàçíèêà, íàâåäåíîãî â
ðîçä³ë³ 4 "Ðåçóëüòàòè âèçíà÷åíü",
ðåãëàìåíòîâàí³ Ñòîð. 1, âñüîãî ñòîð. ____ |
4. Ðåçóëüòàòè âèçíà÷åíü |
Äàòè â³äáîðó òà âèçíà÷åííÿ |
Íîìåð ïðîáè |
Òî÷êà ³
ì³ñöå â³äáîðó |
Ïîêàçíèê |
³äîìîñò³ ïðî Ì |
||||
çà àêòîì â³äáîðó |
ðåºñòðàö³éíèé |
íàçâà |
ðåçóëüòàò âèçíà÷åííÿ |
íîðìîâàíå çíà÷åííÿ |
øèôð/íàçâà |
ïîõèáêà
âèçíà÷åííÿ, |
||
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____________ |
Íà÷àëüíèê ï³äðîçä³ëó |
______________________________________ |
|
Âèêîíàâö³ |
______________________________________ |
|
Ñòîð. ___, âñüîãî ñòîð. ____ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 16
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
ÓÊÐÀ¯ÍÀ
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÀÊÒ
â³äáîðó ïðîá âîä
â³ä "___" ____________ ____ ð. |
N ________ |
ì. ___________________ |
Íàìè,
_______________________________________________________________________________ 1. ³äá³ð
ïðîá ïðîâåäåíî â³äïîâ³äíî äî âèìîã
÷èííèõ íîðìàòèâíèõ äîêóìåíò³â (äàë³
- ÍÄ):
_____________________________________________________________________________________ Ïðîöåäóðè
ùîäî çáåð³ãàííÿ òà ïîâîäæåííÿ ç
ïðîáàìè ïðîâåäåíî â³äïîâ³äíî äî
âèìîã 2. Çàñîáè
âèì³ðþâàëüíî¿ òåõí³êè (äàë³ - ÇÂÒ)
òà äîïîì³æíå îáëàäíàííÿ, ùî
çàñòîñîâóâàëèñü ïðè â³äáîð³ ïðîá
__________________________________________________________________________ |
3. Ïàñïîðò ïðîáè |
Àêò â³äáîðó ïðîá âîä â³ä ____________ N _________, àðê. _____ (ñòîð. _____) |
Äàòà, ÷àñ â³äáîðó |
Íîìåð ïðîáè |
Òî÷êà ³
ì³ñöå â³äáîðó (ïðèâ'ÿçêà äî
ì³ñöåâîñò³); |
Âèä
ïðîáè: |
Çàãàëüíèé îá'ºì ïðîáè, |
Ïîêàçíèêè, ùî ï³äëÿãàþòü âèì³ðþâàííþ |
Ïîñóäèíà äëÿ ïðîáè |
Ïîêàçíèêè, ùî âèçíà÷àëèñü íà ì³ñö³ |
³äîìîñò³ ïðî ïîïåðåäíþ îáðîáêó ïðîáè |
|||
íîìåð, |
îá'ºì, |
òåìïåðàòóðà |
âîäíåâèé
ïîêàçíèê, |
ðîç÷èíåíèé êèñåíü, |
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4. Äîäàòêîâ³ â³äîìîñò³ ñòîñîâíî óìîâ â³äáîðó òà â³ä³áðàíèõ ïðîá: 4.1. Ìåòåîðîëîã³÷í³ ñïîñòåðåæåííÿ â³äáîðó __________________________________________________________________________________; 4.2. ²íøå ________________________________________________________________________________________________________________. Äî Àêòà
â³äáîðó ïðîá âîä äîäàþòüñÿ:
________________________________________________________________________________________. Àêò ç
äîäàòêîì(àìè): ______________
ñêëàäåíî íà _____ àðê. ó _____
ïðèì., ó òîìó ÷èñë³ äîäàòîê(è) íà
_____ àðê. |
Âèêîíàâö³ |
_______________________________________ |
Ïðåäñòàâíèê |
|
Ïðîáè
äîñòàâëåí³ äëÿ ïðîâåäåííÿ
âèì³ðþâàíü
________________________________________________________________________________ Çàóâàæåííÿ ùîäî ñòàíó ïðîá ³ çàïèñ³â _______________________________________________________________________________________ Âèñíîâîê ùîäî ïðèäàòíîñò³ ïðîá äëÿ ïðîâåäåííÿ âèì³ðþâàíü: 1. Ïðèäàòí³ âñ³ ïðîáè _____________________________________ 2. Íå
ïðèäàòí³ ïðîáè N
______________________________________ _______________________________________________________ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 17
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
ÓÊÐÀ¯ÍÀ
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÏÐÎÒÎÊÎË N ________
âèì³ðþâàíü ïîêàçíèê³â ñêëàäó òà âëàñòèâîñòåé
´ðóíò³â
â³ä "___" ____________ ____ ð.
³äïîâ³äíî
äî Àêòà â³äáîðó ïðîá ´ðóíò³â â³ä
____________ N _________
______________________ 1. ³äá³ð ïðîá ´ðóíò³â ïðîâåäåíî â³äïîâ³äíî äî ÷èííèõ íîðìàòèâíèõ äîêóìåíò³â (äàë³ - ÍÄ), ïåðåë³ê ÿêèõ íàâåäåíèé â Àêò³ â³äáîðó ïðîá ãðóíò³â. 2. Âèì³ðþâàííÿ ïðîâåäåí³ â³äïîâ³äíî äî: ìåòîäèê
âèêîíàííÿ âèì³ðþâàíü (äàë³ - ÌÂÂ),
äîïóùåíèõ äî âèêîðèñòàííÿ òà
íàâåäåíèõ ó Ïåðåë³êó ÌÂÂ, ùî íå
óâ³éøëè äî Ïåðåë³êó:
_______________________________________________________ 3. Ïðè
âèì³ðþâàíí³ çàñòîñîâàí³ òàê³ îñíîâí³
çàñîáè âèì³ðþâàëüíî¿ òåõí³êè:
____________________ 4.
Íîðìîâàíèé âì³ñò ãðàíè÷íî äîïóñòèìèõ
êîíöåíòðàö³é (äàë³ - ÃÄÊ) ïîêàçíèê³â
ó ðîçä³ë³ 5 "Ðåçóëüòàòè âèì³ðþâàíü"
íàâåäåíî â³äïîâ³äíî äî: Ñòîð. 1, âñüîãî ñòîð. ___ |
5. Ðåçóëüòàòè âèì³ðþâàíü |
Íîìåð ïðîáè |
Äàòè â³äáîðó òà âèì³ðþâàííÿ |
̳ñöå â³äáîðó, ïðèâ'ÿçêà äî ì³ñöåâîñò³ |
Ïëîùà
çåìåëüíî¿ ä³ëÿíêè, |
Ãëèáèíà
â³äáîðó, |
Ïîêàçíèê |
³äîìîñò³ ïðî Ì (øèôð òà
ïîõèáêà âèì³ðþâàííÿ*, |
||||
íàçâà |
ïîçíà÷åííÿ îäèíèö³ âèì³ðþâàííÿ |
ðåçóëüòàò âèì³ðþâàííÿ |
íîðìîâàíèé âì³ñò |
|||||||
ÃÄÊ |
ôîíîâèé |
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____________ |
Íà÷àëüíèê ï³äðîçä³ëó |
______________________________________ |
|
Âèêîíàâö³ |
______________________________________ |
|
Ñòîð. ___, âñüîãî ñòîð. ____ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 18
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
ÓÊÐÀ¯ÍÀ
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÏÐÎÒÎÊÎË N ________
âèì³ðþâàíü ïîêàçíèê³â ñêëàäó òà âëàñòèâîñòåé
â³äõîä³â
â³ä "___" ____________ ____ ð.
³äïîâ³äíî
äî Àêòà â³äáîðó ïðîá â³äõîä³â â³ä
______________ N ________
_____________________ 1. ³äá³ð ïðîá â³äõîä³â ïðîâåäåíî â³äïîâ³äíî äî ÷èííèõ íîðìàòèâíèõ äîêóìåíò³â (äàë³ - ÍÄ), ïåðåë³ê ÿêèõ íàâåäåíèé â Àêò³ â³äáîðó ïðîá â³äõîä³â. 2. Âèì³ðþâàííÿ ïðîâåäåí³ â³äïîâ³äíî äî: ìåòîäèê
âèêîíàííÿ âèì³ðþâàíü (äàë³ - ÌÂÂ),
äîïóùåíèõ äî âèêîðèñòàííÿ òà
íàâåäåíèõ ó Ïåðåë³êó ÌÂÂ, ùî íå
óâ³éøëè äî Ïåðåë³êó:
_______________________________________________________ 3. Ïðè
âèì³ðþâàíí³ çàñòîñîâàí³ òàê³ îñíîâí³
çàñîáè âèì³ðþâàëüíî¿ òåõí³êè:
____________________ Ñòîð. 1, âñüîãî ñòîð. ____ |
4. Ðåçóëüòàòè âèì³ðþâàíü |
Íîìåð ïðîáè |
Äàòè â³äáîðó òà âèì³ðþâàííÿ |
̳ñöå â³äáîðó |
Ñòàí â³äõîäó (ô³çè÷íèé, àãðåãàòíèé) |
Òèï â³äõîäó |
Ãëèáèíà
â³äáîðó, |
Ïîêàçíèê |
³äîìîñò³ ïðî Ì |
||
íàçâà |
ïîçíà÷åííÿ îäèíèö³ âèì³ðþâàííÿ |
ðåçóëüòàò âèì³ðþâàííÿ |
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____________ |
Íà÷àëüíèê ï³äðîçä³ëó |
______________________________________ |
|
Âèêîíàâö³ |
______________________________________ |
|
Ñòîð. ___, âñüîãî ñòîð. ____ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 19
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
ÓÊÐÀ¯ÍÀ
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÀÊÒ
â³äáîðó ïðîá ´ðóíò³â
â³ä "___" ____________ ____ ð. |
N ________ |
ì. ___________________ |
Íàìè,
_______________________________________________________________________________ 1. ³äá³ð
ïðîá ïðîâåäåíî â³äïîâ³äíî äî âèìîã
_____________________________________________ 2. Çàñîáè
âèì³ðþâàëüíî¿ òåõí³êè (äàë³ - ÇÂÒ)
òà äîïîì³æíå îáëàäíàííÿ, ùî
çàñòîñîâóâàëèñü ïðè â³äáîð³ ïðîá
__________________________________________________________________________ 3 Ïðîáè
óïàêîâàí³ â
___________________________________________________________________ |
4. Ïàñïîðò ïðîáè Àêò â³äáîðó ïðîá ´ðóíò³â â³ä ____________ N _______________, àðê. ______ (ñòîð. ______) |
Íîìåð ïðîáè |
Äàòà, ÷àñ â³äáîðó |
̳ñöå â³äáîðó, ïðèâ'ÿçêà äî ì³ñöåâîñò³ |
Ïëîùà çåìåëüíî¿ ä³ëÿíêè, ì2 |
Ïëîùà ïðîáíî¿ ïëîùàäêè, ì2 |
Âèä
ïðîáè |
ʳëüê³ñòü òî÷êîâèõ ïðîá |
Ãëèáèíà
â³äáîðó, |
Ìàñà
ïðîáè, |
Ïîêàçíèêè, ùî ï³äëÿãàþòü âèì³ðþâàííþ |
Ïðèì³òêà |
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5. Äîäàòêîâ³ â³äîìîñò³ ñòîñîâíî óìîâ â³äáîðó òà â³ä³áðàíèõ ïðîá: 5.1. Ìåòåîðîëîã³÷í³ ñïîñòåðåæåííÿ â³äáîðó __________________________________________________________________________________; 5.2. ²íøå
________________________________________________________________________________________________________________ Äî Àêòà
â³äáîðó ïðîá ´ðóíò³â äîäàþòüñÿ:
____________________________________________________________________________________ _________________________________________________________________________________________________________________________ Àêò ç
äîäàòêîì(àìè): _______________
ñêëàäåíî íà _____ àðê. ó _____
ïðèì., ó òîìó ÷èñë³ äîäàòîê(è) íà
_____ àðê. |
Âèêîíàâö³ |
_______________________________ |
Ïðåäñòàâíèêè |
_____________________________ |
___________________________ |
Ïðîáè
äîñòàâëåí³ äëÿ ïðîâåäåííÿ
âèì³ðþâàíü
_______________________________________________________________________________ Çàóâàæåííÿ ùîäî ñòàíó ïðîá ³ çàïèñ³â ______________________________________________________________________________________ Âèñíîâîê ùîäî ïðèäàòíîñò³ ïðîá äëÿ ïðîâåäåííÿ âèì³ðþâàíü: 1. Ïðèäàòí³ âñ³ ïðîáè _____________________________________ 2. Íå
ïðèäàòí³ ïðîáè N
______________________________________ ____________________________________________________ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |
Äîäàòîê 20
äî íàêàçó ̳í³ñòåðñòâà åêîëî㳿 òà ïðèðîäíèõ
ðåñóðñ³â Óêðà¿íè
19.04.2013 N 179
ÓÊÐÀ¯ÍÀ
ÄÅÐÆÀÂÍÀ ÅÊÎËÎò×ÍÀ ²ÍÑÏÅÊÖ²ß ÓÊÐÀ¯ÍÈ
________________________________________
(íàéìåíóâàííÿ
òåðèòîð³àëüíîãî îðãàíó)
__________________________ |
|
Òåëåôîí ________________ |
ÀÊÒ
â³äáîðó ïðîá â³äõîä³â
â³ä "___" ____________ ____ ð. |
N ________ |
ì. ___________________ |
Íàìè,
_______________________________________________________________________________ 1. ³äá³ð
ïðîá ïðîâåäåíî â³äïîâ³äíî äî âèìîã
_____________________________________________ 2. Çàñîáè
âèì³ðþâàëüíî¿ òåõí³êè (äàë³ - ÇÂÒ)
òà äîïîì³æíå îáëàäíàííÿ, ùî
çàñòîñîâóâàëèñü ïðè â³äáîð³ ïðîá
__________________________________________________________________________ 3. Ïðîáè
óïàêîâàí³ â
___________________________________________________________________ |
4. Ïàñïîðò ïðîáè Àêò â³äáîðó ïðîá â³äõîä³â â³ä ____________ N _______________, àðê. ______ (ñòîð. ____) |
Íîìåð ïðîáè |
Äàòà, ÷àñ â³äáîðó |
̳ñöå â³äáîðó, ïðèâ'ÿçêà äî ì³ñöåâîñò³ |
Ñòàí â³äõîäó (ô³çè÷íèé, àãðåãàòíèé) |
Òèï â³äõîäó |
Âèä ïðîáè (òî÷êîâà, îá'ºäíàíà) |
ʳëüê³ñòü òî÷êîâèõ ïðîá |
Ãëèáèíà
â³äáîðó, |
Ìàñà
ïðîáè, |
Ïîêàçíèêè, ùî ï³äëÿãàþòü âèì³ðþâàííþ |
Ïðèì³òêà |
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5. Äîäàòêîâ³ â³äîìîñò³ ñòîñîâíî óìîâ â³äáîðó òà â³ä³áðàíèõ ïðîá: 5.1. Ìåòåîðîëîã³÷í³ ñïîñòåðåæåííÿ â³äáîðó __________________________________________________________________________________ 5.2. ²íøå
________________________________________________________________________________________________________________; Äî Àêòà
â³äáîðó ïðîá â³äõîä³â äîäàþòüñÿ:
____________________________________________________________________________________ Àêò ç
äîäàòêîì(àìè): ______________
ñêëàäåíî íà _____ àðê. ó _____
ïðèì., ó òîìó ÷èñë³ äîäàòîê(è) íà
_____ àðê. |
Âèêîíàâö³ |
_______________________________ |
Ïðåäñòàâíèêè |
_____________________________ |
___________________________ |
Ïðîáè
äîñòàâëåí³ äëÿ ïðîâåäåííÿ
âèì³ðþâàíü
_______________________________________________________________________________ Çàóâàæåííÿ ùîäî ñòàíó ïðîá ³ çàïèñ³â ______________________________________________________________________________________ Âèñíîâîê ùîäî ïðèäàòíîñò³ ïðîá äëÿ ïðîâåäåííÿ âèì³ðþâàíü: 1. Ïðèäàòí³ âñ³ ïðîáè _____________________________________ 2. Íå
ïðèäàòí³ ïðîáè N
______________________________________ ____________________________________________________ |
Çàñòóïíèê
äèðåêòîðà |
Â. À. Áó÷êî |