Ministerul Siinli!lilii at Republicii MoldovaMUllucrepcTDo 3ApaBooxpaHeUHll Pecny6mum ·Mo.ll~oBa. ."'.
Centrul de M-edici.na Preventivaal r-lui Hince~ti
J)OCU,\\ENTAT!E MEDli>\LA
Formular 301/¢opMa .nr. ,e
Aprobut de '\\S 81 RMY7t1el';!<)l.e"a M3 PM 28,05,02Nr. 139
1. Denumirea obiectullli pentril care se rcpartizeazil lotui, apar tenenla administrativL .... _.__._. ._. _HaHMeHOBlume o6'bcJ('J:a, ;llJIH ROToporo O'l'BOAHl'CHYQacl'ol{, era a-enoMC1'BeH8a~ npm-la;:{JIeatHOCTb
_/!!OIUlm /1-1 !n. ,meJ'YJ ~tlf /:!:2.l-1P''W/''t;t'~z. vldJJnC? O'~
laam<.t~.L d,h a//[I! /.Yf'6-:I?Y-1.._. __ .
2. Locul de aflare a loiu!ui ._ . .pt !!L,1tj1d 'l ._.1 ':'11 .It/'U et ~. ._.,.iVfeCTOnaX01H,lleBHR.Yl.!::lCTKa ,lanu} (nlUnJClplul)) ora~ul, satul ~aijoH (MYJ1Hli-HnHfi-),-r-o·-p-O-A~. 'c-e-;-Io'--~--
--------------_.~--_.~.._--- .--_._---------------_. ---- ------------- _._-_._--..,~--~-----*._*~~._..__.~_ __._-_.~----_._--------_.- ---------_.-
3. Denumirea documenlclor, In baza dirora este. eHbera! avillli sanjtar .eli? ~f -_ve-z.6a 'eHaJi1'vlenOBanHe j\oHYMeHToD
Jna OCHOBflUHH fiOroPblX AaHO HaCTORlI~ee 3aH••'1IO"leHHe --.------
_. -f2'Y ~/~Hol. -5 &cA-a .~ .'_ f~Ju41.A-~ p~-1i~ a VM//.Jl~{J'at;. 0 re~ I
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p ~ Ct r Ll e--L-<..-t·.. ~ - --'---.
4. A fast examinat lotu} in nalura e..#-l1~ t~ ThITPOH3lI0gH.1CH ;rH OC~IOTP Y'13cTHa B Ha1'ype
de comisie in componenla; . . .._._~------ .. .__
HOMHcCHell B cocTaB~l1 ~-PVJ
-------------_._-_.----_.¥ ..~------------~----- ----------
et'-/~h._·I- _5. Caraclcrislica lolului de piimint (Ieritoriului):
Xapah.'TepHCTHHa SeMeJIhHOrO Y'laCTHa (TePPHTopHU):L ""
a) suprllfata 3~tfz.....!J:L:.. . .. b) rellefulpasllfep~ (unOIll,3Jlb) Penhecj>
e) soluJ __ ._.~~~ .d) cota apelor rreatice~.I?-1 __ ... _RHA l'PYHT3 Br>rCOTa· CTO!lHHll rPYHToIlhlX BOA
e) 5-01 rnlii~tinos ·_.I1,..{.._~( -------.--f) spalH veni . ~3 __HaJIl-!"lHe 3a6oJlo'leUHOCTlf H'lJIHtlHe 3eJleHblX HaCail{A~IlH
_ •..--_._---------_ ..~-------_._----_._-----_._---_._ ..----_ .._-----------------_._-_. __ .__._---------------_._---7. Plasarea 10tului in faport ell ieritoriul ~i c1iidirile cE·l incon joarii .._.__ _._. ._. __ .. . .__ _
Pa3Me~eHHe Y'IacnUl. no O;THDlUCHlllO 1\ ()Hp'yjt:a!o~e!i -replhHopHJI HMelolliHMlICH CTPOClntHM
__ [1:1- __..111t:J&.~~L(.c;-l~..f..l!.-( ..f!?!,.fu_~--u/. ..._...._._....__. .._. _8. Direcpa predomirJanUl a vlniuJui . . .•. .__ . . ....•....._ - - - ----.
rOCllQi\C'!ilYIOU\ee lIanpaBJreliHe BCTPOB
. {\-/O ~of - VE?5 f•• , ••••• _ ·M __ ·_" __ ·_. __ ···_·_ •. __ • ~ •• ._. •• _. __ .,. ~ _
I
9. Caracteristica 1nflltenlei posibile a ohiectului dat asupra me dfuluj' inconjurl\for ~i a conditHlor igienite de vi"f;) a populalieiXapalITepIlC'I·lu<.a IlO:JMOIf{HbIX l1Jl}{fUrnfl YRaClaI1HOf(,) o6"elna crpollTe:1,bC1'Tla 1m Of(PytWliOlU,y,IO cpeJlY II rJfrJHHllf'leCtiHeYCi1()!llliI If(l{3HH Il<lC'C;lelllnl
~9,· .. ,------------------~-.--..--._---_ ..__ ...••_~._----------------
------.-.-------.- •• --.---~-.--. ~ __ •• •••••• > •••••• H •• W. ., ., ("_:_---
lQ. Clasa objeetulttl confoJ'l,ll clagificJjrli sanilare, dime\1~il1nile (zond sani/are tJe i)fotectie) ~i11nOf'11ptof sanitare (N5.245.71). l{nacc OO'bC1<Ta [10 cafluTapHoll l<JlIlCciHj;nmarvm, pa~Mepbt (.c,1Ilf1TaPHo·salC(HTHOli 30HbI) B COI)'r~crCTBHa(': (CH·245·7l)
11. Sursa de aprovi~ionare eu ap~, poslhilHat a de a l:lX'(:falma zona'sanltari (If: protectiel{cTO'l:H1{J{HlloAocHaO>KeHIUf. B03MO>KllOC ,6 opraHimartHH :JOliN canuTapHoi{ oxpaHhl
~i posihllitalea de organizare ~ 1.'1 .__ _.._.___ _ ....•.•. __ .__ __ . _
, OO'MO~O". '='''':'""~~__. .___.__. _~----------
12. PasibiJitatea de a canaliza ohicdul •.__ __ . . ..__. .._ _..~ ....• _BOUM'01KHOC'fh lcaua;m30BaIDll'l OO'bCK'ra
\13. Lllcul de evacuare a apelor rezidu/llc (corespunde sau ot! ccrin!e!or)
MecTo CIlYCI\{\ C'j'O'lHbIX B(l~ (COOTBe'l'CT!I!:l:e 'l'pe60BflIlBflM}
14, Posibjlitatea termofidlrii oh·(.-cluliJj .. B03MomHocTb TellIlOcHa6i\(eHHH 'o6'LeH'ra ----;--.-, --.- •.-.-----------.-.-- ...•.•..
-_ ..•..•._-------_._--_._---- --_._--_. -------_._.__ ...._-- ..,._'-----------conform condlFilor sanitaro·lgienice:no CaBllTapJIo'I'm'HeUHtleCKHM YC,lJOBlIJJM: .••L A
a) ulil pentru 'constructle ,. . c.P(Ot.UI n-1 e I-Z(!-l e~~ l.h /?2e~~{-.j4J. M It!j!!1' -
~;:~':2C~"~~b7~it'rneCl~I9-CL~ef~~ ...d..L4 ~~/(906 --/JLtk- lL1.LjJ{('tjh't. __ ._.__ .. . .. _
;,) nu 0 util pentrtt ('.otlstructjp (de indical call1ele) ._..._ .• ..... ...._ ..._. ~_~_. __He npKl'Ol(el1 ll-.'li! C'l'pOHTcm.e1'!la (Ylla::H\'l'b CCllOB3!11151)
------------------_ ..__ .~,~'..~--------~_........,-_ ...•.._ _ _---------_ •._._----