Formulář č. 3
Razítko
a podpis:
ZPRÁVA O MATERIÁLOVÉ BILANCI
+---------------------------------------------------+---------------------------------------------------+-------------------+
| Název a adresa držitele povolení | Období od do | Zpráva MAAE |
| nebo kód zařízení a MBA: +---------------------------------------------------+-------------------+
| | Strana č....ze...stran | Zpráva č. |
+-------+----------------+-------+------------------+------------+------------------+--------+----------+-------------------+
| Řádka | Název řádky | Prvek | Hmotnost prvku | Hmotnostní | Hmotnost izotopu | Izotop | Poznámka | Oprava ke |
| č. | | | | jednotka | | | +---------+---------+
| | | | | | | | | Zprávě | Položce |
| | | | | | | | | č. | č. |
+-------+----------------+-------+------------------+------------+------------------+--------+----------+---------+---------+
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