(Z-45-sonli shakl)
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TASDIQLAYMAN
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“__________” tashkiloti rahbari
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20___ y. “____” ______________
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____________________________________________________________________
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(rezer�uar, tozalash vakuumli idishi, mahsulot quvuri, mahsulotni qabul qilish joyi, estakadalar)
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20____ yil “_____” ___________________ da mahsulotni qabul qilishga tayyorligi to‘g‘risida
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DALOLATNOMA
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_________________________________tashkilotining bosh muhandisi _________________, laboratoriya mudiri ____________________________________________, saqlash uchastkasi boshlig‘i _________________________, muhandis-mexanigi __________________, qo‘riqlash xizmati boshlig‘idan iborat komissiya tomonidan _____________________________________
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(rezervuar raqami ko‘rsatilsin)
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____________________________________________________________________
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(neft mahsuloti markasi)
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quyishga tayyorligi tekshirildi va quyidagilar aniqlandi:
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1. ____________________________________________________________________________
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(olib borilgan ishlar ko‘rsatilsin: naryad bo‘yicha ta’mirlash ishlari, barcha asbob-uskunalarni
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___________________________________________________________________
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taftish qilish, transheya rezervuarlari tubi va sirtini tekshirish, sinov usullari va ijrochilarni
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____________________________________________________________________
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ko‘rsatgan holda)
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________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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Z-45-sonli shaklning orqa tomoni
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________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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2. _______________________________________________ devorlari va tubi to‘liq tozalangan
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____________________________________________________________________
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(qachon, qanday qilib va nima bilan tozalangani ko‘rsatilsin, shuningdek idish qatron cho‘kindisi, suv, muzdan qanday tozalangani, sirti qanday tozalangani)
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________________________________________________________________________________________________________________________________________
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3. Texnik holati ________________________________________________________________
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(obyekt ko‘rsatilsin)
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____________________________________________________________________
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(holati qandayligi ko‘rsatilsin)
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4. Komissiya xulosasi: __________________________________________________________
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(obyekt va uning raqami ko‘rsatilsin)
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(O’z DSt, GOST)ga muvofiq neft mahsulotlarini qabul qilishga to‘liq tayyorlangan va
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______________ ga ____________________________________________
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(neft mahsuloti markasi ko‘rsatilsin)
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quyish mumkin.
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