(Z-49-sonli shakl)
Sisternalarni ko‘rikdan o‘tkazish
DALOLATNOMASI
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“TASDIQLAYMAN”
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Tashkilot rahbari _____________
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20___ y. “___” ________________
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Biz, quyida imzo qo‘yuvchilar, _____________________________________________________ tashkiloti, __________________________________________________ tashkiloti vakillari ______________________________________________________________________________
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Mazkur dalolatnomani shu haqida tuzdikki, 20____ yil “_____” _______________________da ______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________
- raqamli tsisternalarni ko‘rikdan o‘tkazdik.
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Ko‘rik natijasida aniqlandiki, _________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________
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(mahsulot nomi)
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Normativ hujjatga mos emas ________________________ va quyishga yaramaydi ___________
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yuqorida qayd etilgan tsisternalar ishga yaroqli emas.
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tashkilot laboratoriyasidan _______________________________________________________
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(lavozimi va imzosi) (F.I.O.)
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tashkilot saqlash uchastkasidan ____________________________________________________
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(lavozimi va imzosi) (F.I.O.)
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____________________________________________________________________
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(lavozimi va imzosi) (F.I.O.)
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