Příloha č. 1
Soupis plynových spotřebičů zákazníka
Dodavatel:
Název zákazníka:
Místo odběru:
+---------------+
Číslo zákazníka: | |
+---------------+
A) Tabulka plynových spotřebičů pro technologii a otop
+------+----------------------------+------------+--------+----------+--------+---------+-----------+
| Poř. | provozované plynové | jednotkový | prac. | provoz | reálné | pro: | |
| | spotřebiče | příkon | příkon | hodin v | "BTM" | tech. T | |
| čís. +------------+--------+------+ | | | | otop O | |
| | druh | typ | poč. | m3/den | hod. | P./N.den | m3/den | | poznámka |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 1 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 2 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 3 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 4 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 5 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 6 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 7 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 8 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 9 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 10 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 11 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 12 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 13 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 14 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 15 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 16 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 17 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
| 18 | | | | | | | | | |
+------+------------+--------+------+------------+--------+----------+--------+---------+-----------+
Celkem | | | | |
+------+------------+ +--------+
B) Potřeba plynu v prac. den pro sociální účely C) Bezpečnostní a technologické minimum (BTM)
+------------+ +-----------+
- pro kuchyni závodu | | Průměrný prac. den /m3/ | |
+------------+ +-----------+
- pro TUV závodu | | Skluz /hod./ | |
+------------+ +-----------+
- pro byty apod. při 0 st. C | |
+------------+ +-----------+
BTM /m3, %/ | |
+-----------+
Zákazník: razítko, podpis, datum
a kontaktní osoby pro řešení stavů nouze
Dodavatel: razítko, podpis a datum
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