Държавен вестник, бр. 102, 2014 г., стр. 63

БРОЙ  102	
Д Ъ Р Ж А В Е Н  В Е С Т Н И К 	
СТР.  63  
Приложение № 5 
към чл. 33, ал. 2, т. 1
ОСЪЩЕСТВЕН КОНТРОЛ
ИНФОРМАЦИОННА КАРТА НА НАРЯДА	
№ A 00000001
Състав на наряда:
Дата ............................... 20 ...... г.	
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(име, фамилия и длъжност на старшия на наряда)
Смяна: от ............... ч. до ............. ч. 	
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Служебно МПС рег. №:	
	
(име, фамилия и длъжност на водача на сл. МПС)
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3. ...........................................................................................
	
	
(име, фамилия и длъжност)
Участък за обслужване:	
4. ...........................................................................................
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(име, фамилия и длъжност)
Провел инструктажа:	
Провел отвода:
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(име, фамилия, длъжност, подпис)	
	
(име, фамилия, длъжност, подпис)
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ХАРАКТЕРНИ СЛУЧАИ
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стр. 4
ИНФОРМАЦИОННО ОБЕЗПЕЧАВАНЕ/РАЗПОРЕДЕНИ ЗАДАЧИ
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стр. 1
В ИНФОРМАЦИОННАТА КАРТА НЕ СЕ ПОПЪЛВАТ ЛИЧНИ ДАННИ НА ЛИЦА!