Главное управление МЧС России по Ростовской области Акт 24.12.19

MunncrepcrBo Poccuficxofi (Degepaurr rro AeJraM rpax4alrctcofi o6oponbl,
rrpelBbrrrafinsrpr cuTyarlnflM rr Jrr{KBil a\u}r [ocJreAcrnnft crnxufturrx 6eAcrsnfi
Iaasuoe yrpaBJreHue MrIC Poccuu no Pocroncrcofi o6lacrH
yn. fopo4aBoroc, ll, r. Pocroa-ua-,{ony, 344003, rel: 8(863) 240-67-66.
r[arc : 8(863) 244-27 -85. E-mail : gumchsro@donpac.ru
Eaunuft 

AeKa6pr

2019 f.

cocraBneffi ana)

(,qam

cr. Po,{proHoBo-HecBeraft cKat

l5 qacos 00 vrunyr

(uecro cocmuexru ama)

(BpeMr cocraBneHur aKm)

AKT IIPOBBPKI{
opf aHoM f ocyAapcrBeHHof o KoHTpoJra (na4ropa),
opraHoM MyHrrrlu [aJrbHoro KoHTpoJrfl roprlArlrlecKof o Jr Irqat
rrHAIIBIrAyaJrbHOfO IIpeArIpEHrIMaTeJIfl
J\lb 42
P ocmoecrcan

flo a4pecy/a4pecaM:
Ha

x.,4apueeKa, yn. UeHmparbHat,

ocnonamuuz

I (o)

42 om l0

dercadpn 2019 zoda

yra3auueu peruuomoa (novep, aara)

6HenJtaHo6&n gbradHan

uponeAeHa

oailou,

(uecro nporeaerua npoBepxu)

pacnopncrceuun (npurcaga) Ns
toKyMeHTa c

6rna

P oduouoeo-Hecsemailcrcuil

o6nacma,

npoBepKa B oTHoIxeHpII{:

(manoaar-/ereuaHoBat.,tloKyMeHrapHil/Bbls,[Hat

)

MJluuuunailauoeo indcrcemuozo doutxonauozo o1pagoeamenuuozo vrapeorcdeuun Poduouoeo-Hecsemailcrcozo

oauoua demcrcuil cad Kcsemwrtop)
(rcameeopun pucrca -,tpesearuailryo earcoKuil
- npr Hanruau) xu,{trBuAyzurbHoro

(nauueuolauue ropll,quqecKoro Jurra, Qauulm, nur, onecrlo (nocleaxee

lara u BpeMs rIpoBeAeHIrs rpoBepKu:
( 16 > AeKa6pg 2019 r. c 09 qac. 00 trlun. Ao 11
))

'

6n6n*-. uffii6iii"6*i"

20

r.

c

qac.

MLIH.

Ao

.rac.

00

qac.

npoufri'fi-ruo4 n@"*nmii666aennu crpy*ryp'map*.a*"*rit
npernpflHHMsrur no HecKonbKHM

O6uaq npoAoJr)ftI{TeJrbHocrb rIpoBepKI{:

pucrc)

.

npegnpunuuarelr)

naun. flpo4oJlx(I{TeJlbHocrb

2'raca

rranu.Ilpo4oJDrulTeJlrnocrb
*pu,an"ecrorc nuua rus nps ocyr{qBnesuu aemqb'oqx lHlqBqAyub'orc

upqM)

I pn1ouuit deut/2 qaca
(pa6ovlx ,qnei/xacor)

Arcr cocraBJreH: OrleneHnela nalgopHoft nesremnocru
vflpaBfleHu.s

MrIC PoccI'IH no PocroBcKoft o6nacrll
(HaHMeHoBaHHe

opftrHa rocyrapcrBeHHoro KoHTponr (naa:opa)

pr npo0lararrnqecKoft pa6otm

Hx

uo Po.ullonoso-

opmHa MyHffurnilnbHoro xonrpolr)

C xonnefi pac[opsxenun/npnra3a o npoBeAeHLIr rpoBepKrr o3HaKoMJreH(bI):
(QauHrau uanunaru, noantrc;, aam, BpeMt)

laravr HoMeF pe[reHr{r flpoKypopa (ero sauecrr{Tenu) o conracoBal{uu [poBe4enLrfl rIpoBepKI,I:
(sanorurercx r cnyrae Heo6xo,{nuocrlr corJlacoBaHilt npoBepxu c opliilIaMu nporyparypH)

Jlnqo (a), uponoAr.rBmee rpoBepKy: fyces I4naH AHnDeespl.{ - aognaearenr orAereHus HaAgopnoft
nesrenrHocru pr upo$uraxrrrecrofi pa6orrr uo Po,4l,IoHoso-HeceeraficKol\ay pafioHy ynpaeneHzq
Pocclrlr rro
KTI,IqECKOU

PocroecKofi o6racru - roc)'napcrseHHHfi HHcnexrop PoA[oHoso-Heceeraficxoro pafioHa no noxapHolnly
Ha,usopy nefireHaHr gHyrpeHHefi cryx6rr.
wemo

(nocreaxee - npr narrnru), aonxtsocr aormotrHoro luua (aorruocrnux ruq) uposo4lauero (nx) npoBepKy; B cn1rlae npuueseHru K flamrc B
(Qauuur, uur,
npoBepKe 3KcneprcB,3xotreprHbrx opraur:auafi yxa:urarorcr Qaumru, uuena, oroecma, (nocteaHee - trpH Harroar), aolmocrx 3xcneproB t/H,la salvesosaule 3Kctrepgglx
opraHu3auili c yKa3aHHeM peBtr3HToB ceuacrersmsa o6 axxpeatrfttrlnH H HaHMeHoBaHue opraHa no aKKpe,4HTaIrtrH, BEI,4aBuero cBraeretsgrao)

IIpu nponeAeHl{I{ rp oBepKn npr cyrcrB oB aJrlr :
3ane4yroud MBAOy AercKI,Ifi

r

caA.

(CBernflqoK) HllKeftqeea H.H.

($aumnr, uux, oruevrao (nocleauee - npx nalnun),AorxHocft pyKoBoAffTeJrr, HHoro aoJlxHocruoro rrua (aorxlocrHux luu) utr ynotHoMoqeHHoro trpeacmBurent
rpuAHqecKofojIHIIa')monHoMoqeHHoIonpeAcraBHTeI{HH,IIHBHllyiU16HoIonpeAnpHH}tMaTeJI''ynoIHoMoceHHoIonpeAcTaBuTen'curMopernlpyeMofopraH'3aIIUt(rcnae
npoBeaeHu trpoBepru ueHa caMoperylHpyeuoE opranusaqHu), npncyrcrnoBaBuilx npH npoBeaeHuu Meponputmfi tro npoBepKe)

Bbu{BneHbr Hap}/IIIeHr4s o6r3aTelbHbp( Tpe60BaHr4fi lllnu Tpe60BaHI,Ift. ycraHoBneHHbp( MyHuqI4nanbHbIMI,I
npaBoBbrMn aKTulMr,r (c yKa3aHr.{eM rroJro)r(eHr.rft (HopMaTI,IBHbrx) [paBoBbx aKToB):

HapymeHur He BbUIBJIeHbI-----------

r

(c yxamueu xapamepa uapyuenui; nHIr, AonycrHB[Hx HapyueHu)

BbU{BJIEHbI HECOOTBETCTBI,I' CBEAEHI{fi, COAEPX(AIIIUXC'

B

YBEAOMNEHI,III

O

HATITIJIC

ocyqecTBneHllt

oTAeJrbHbrx BLIAOB npeAnprrHr4MaTenbcKofi Ae.STeJIbHOCTI'I, O6sSarenbHbIM Tpe6OBaHI{.[M (c yKa3anrreM
lonoxeHr,rft (uoprr,rarunHbrx) [paBoBbIX aKTo B) :
r BburBJreHbr $arru HeBbrrroJrHeHr{r npeArrr.rcaur.rfi opragoB rocyAapcrBeHHoro KoHTpou (naAsopa),
opfaHoB MyHr.rqurraJrbHoro KoHTponr (c yrasanueM peKBI,I3TITOB BbIAaHHbX rIpeArIVCAHvfi)i

r

I

HapyueHr{fr He

BbUIBJIeHO

Xypnal yveTa

npoBepoK lopl4AuqecKoro JILIqa, 14HArrBr,4yanbHo
rpoBoAr{Mbx opmHaMH rocyAapcTBeHHofo KoHTpont (naasopa), opraHaMr4 M p'

3anncr ..s

[pu

BHeCeHar(3a

[poBeAeHLIrI BbIe3AHOft [pOBepKI4)

npoBeprrcIIlerc)

HLIMaTeJIt,
t

'$

;/

:

(noaII!rc6
14rrar.rBItayzlJrbHoro

npoBepoK lopl{AI4qecKoro JII{qa, prlJ4nB.ulyurbHofo [peArIp]IH[IMareJIt, [poBoALIMbIX
opIaHaMr,r rocyAapcrBeHHoFo KoHTpont (nag:opa), opfaHaMlr MyHl{IlulanbHofo KoHTpors, oTcyTcTByer
(s auonnrer cs. fipu npoBeAeHI,II{ Bble3.{Hofi nponepru) :

Xypna-n

frera

(noanHcs npoBeptrcuero)

(noanucr ynonHoMoqeHHoro flpeacraBlrrent rcpurl{qecKofo JIlrqa,
HHAHBHAyaJTbHOfO

npeAnpUHl,tMaTelt, ero yIIoJIHOMOqeHHOTO

lpunaraeMble K aKTy AoKyMeHTbr:
iloAnucu

Jrrrq, "[poBoArrBrlrnx

[poBepKy:

C arcrona [poBepnr{ o3HaKoMJreH (a), KorIrlK) aKTa co BceMr{ rrplrJroxeHrafln'lla
3ane.qyroIqnft

MEIOY

AercKLIfi caA (CBerJUIrIoK)) HI'IKefiIIeea H.FI.

,4OnxHOmb pyKoBoAffrent, trHOrO AonxHOCTHofO nHqa H.,IH yIOJIHOMOqeHHOIO
HHAtrBHAydbHofo npeAnpHHHMarent, efo ynonHoMoqeHHoro npeAcraBffTent,

(Saumnr, uur, mvecraO (nOcle,4uee - npa ualHvun),

<<24>>

flollema 06 orKa3e o3HaKoMJIeHkrs. c aKToM npoBepKll:

rrr"

f,

i s/
r g/

i Tlri

ffi#fi;

Hffiry,
;0 r 54?a

Powered by TCPDF (www.tcpdf.org)


Наверх
На сайте используются файлы cookie. Продолжая использование сайта, вы соглашаетесь на обработку своих персональных данных. Подробности об обработке ваших данных — в политике конфиденциальности.

Функционал «Мастер заполнения» недоступен с мобильных устройств.
Пожалуйста, воспользуйтесь персональным компьютером для редактирования информации в «Мастере заполнения».