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09diverse03 Servicii
09diverse03 Servicii
DATE GENERALE
- denumirea completă a unităţii
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- adresa
exactă__________________________________________________________________
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- numele persoanei fizice sau juridice destinatoare (nume administrator/
director)
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- forul ierarhic superior (nume societate/ AF/ PF)
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ELEMENTE TEHNICO – FUNCŢIONALE
OBIECTUL DE ACTIVITATE __________________________________________
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- Unităţi funcţionale,compartimente, spaţii, dotări
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- Alimentare cu apă rece şi caldă
(menajeră)______________________________________________________________
-Canalizare
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- Instalaţii sanitare____________________stare de funcţionare____________
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- Iluminat : natural _____________________artificial____________________
- Ventilaţie : naturală _________________artificială _____________________
Încălzire________________________________________________________________
DOTARE TEHNICÂ:
- inventar moale şi/ sau lenjerie de pat în nr. de _________________________
depozitare ___________________ cu ritm de schimbare ________________________
-circuitul inventarului moale_________________________________________
ANEXE SANITARE:
- vestiar _______________________ duşuri ____________________________
- WC pentru personal ______________________________________________
- WC pentru public ________________________________________________
DEZINFECŢIE
- dotare cu materiale de dezinfecţie ___________________________________
COLECTAREA REZIDUURILOR SOLIDE
-colectate în ______________________________________________________
NUMĂR PERSONAL___________________analize medicale__________________
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DATA SEMNĂTURA