BOREALIS L.A.

T ROMANIA SRL
A member of Borealis Group

8A Maria Rosetti Str., et. 3, ap 4, sect. 2

020485-Bucharest/Romania
Tel:(+40) 21 212-3268;(+40)21 211-4025
Fax:(+40) 21 210-3090
www.linzeragrotrader.com

FISA DE VERIFICARE CONFORM PREVEDERILOR ADR

Nr.___________Data__________________

Denumire produs:INGRASAMINTE CU NITRAT DE AMONIU

(AZOTAT DE AMONIU)

Clasa :5.1 Nr. ONU: 2067

Grupa de ambalare: III
Numele si prenumele conducatorului auto:______________________________________
Nr. Certificat de formare profesionala: _________________________________________
Valabil pana la data de:_______________________________________________________
Clasele de substante ce pot fi transportate:______________________________________
Nr. Inmatriculare autovehicul: _________________________________________________
Autotractor:____________________________Semiremorca_________________________

Autovehicul Autotractor Semiremorca

Nr. Foaie de parcurs
Nr. Licenta de transport ADR
Valabil pana la data de :
Nr. Licenta de executie produse
periculoase ADR
Valabil pana la data de:
Nr. Document de transport:
___________________
___________________
___________________
___________________
___________________
___________________
_____________________
_____________________
_____________________
_____________________
_____________________
Data:________________

Echipament necesar derularii cursei in deplina siguranta (trusa ADR) Da Nu

Trusa ADR va fi completa cu trusa medicala, cu valabilitate in termen. O O

Cel putin 2 stingatoare de incendiu P6 Da Nu

cu talon de verificare PSI, in termen O O

Marcaj : DREPTUNGHI PORTOCALIU

Admis, Respins,

Am primit un exemplar,

CIF: RO 18218580
Reg. Comert: J40/21116/2005
Raiffeisen Bank Agentia Bucuresti
RO11 RZBR 0000 0600 1216 5547