Tabulka č. 2a
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| Seznam regulovaných chladiv, s nimiž osoba zacházela na základě povolení |
| podle § 4 odst. 1 písm. a) (pozn.: zacházení s regulovanými chladivy) |
+------------+-----------+-------------------------+-----------------------------------------------------------+--------------+
| Regulované | Zásoby | Příjem | Výdej | Zásoby |
| chladivo | počátek +------------+------------+--------------+--------------+--------------+--------------+ konec roku |
| (označení, | roku | Přijato od | Znovu | Použito | Recyklováno | Předáno ke | Předáno jiné | (kg) |
| vzorec) | (kg) | jiné osoby | získáno | (kg) | (kg) | zneškodnění | osobě | |
| | | (kg) | (kg) | | | (kg) | (kg) | |
+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
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+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
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+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
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+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
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+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
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+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
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+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
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+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
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+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
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+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
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+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
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+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
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+------------+-----------+------------+------------+--------------+--------------+--------------+--------------+--------------+
| Evidence regulovaných chladiv předaných ke zneškodnění jiné osobě, |
| které bylo vydáno povolení podle § 4 odst. 1 písm. d) |
+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
| Datum | Název osoby | Číslo povolení | Označení látky nebo chem. vzorec | Předané množství (kg) |
+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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+-----------+-----------------------+--------------------+---------------------------------------+----------------------------+
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| Dne: ............ Podpis oprávněné osoby: .......................... |
| (razítko) |
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