MEMORIU TEHNIC

1. Denumirea complet a obiectivului: _________________________________

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2. Adresa: _______________________________________________________
3. Numele persoanei fizice sau juridice deintoare:_______________________
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4. Adresa (sediul): ________________________________________________

ELEMENTE TEHNICO-FUNCIONALE
1. Profilul activiti:_________________________________________________
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2. Uniti funcionale componente (enumerare, dimensionare):______________
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3. Dotarea obiectivului cu utilaje necesare activitii: _____________________
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4. Circuite funcionale: _____________________________________________
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5. Natura (denumirea) i cantitile medii de reziduuri rezultate in urma
procesului tehnologic: ______________________________________________
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6. Modaliti de colectare, neutralizare i ndeprtare a reziduurilor rezultate in
urma procesului tehnologic: ________________________________________

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7. Locuri de munc cu condiii grele, nocive sau periculoase, noxe existente,
precum i modurile de protecie asigurate (dotri): _______________________
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8. Numrul i structura personalului pe locuri de munc: __________________
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UTILITI I DOTRI DE INTERES SANITAR

1. Modul, de asigurare i distribuie a apei potabile i industrial: ____________
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2. Modul de rezolvare a colectrii, ndeprtrii apelor uzate (fecaloid-menajere)
i a gunoiului menajer:______________________________________________
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3. Asigurarea cu anexe social-sanitare (filtre sanitare, vestiare, spltorii, duuri,
closete) modul de asigurare a iluminatului, ventilaiei, microclimatului: ________
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Data

Semntura i parafa