Ñèñòåìà ñåðòèôèêàöèè "ÁèîÑòàíäàðò"
Çàÿâêà íà ïðîâåäåíèå ñåðòèôèêàöèè
Äèðåêòîðó
Óïðàâëåíèÿ
ñåðòèôèêàöèåé
Ìåæäóíàðîäíîãî
Íåçàâèñèìîãî
öåíòðà
ðàäèàöèîííîé
è áèîëîãè÷åñêîé
áåçîïàñíîñòè
ïîòðåáèòåëåé
Ìàòâååíêî Â.Â.
Çàÿâêà íà ïðîâåäåíèå ñåðòèôèêàöèè
(íàèìåíîâàíèå ïðîäóêöèè \ óñëóãè)
(íàèìåíîâàíèå ïðåäïðèÿòèÿ-èçãîòîâèòåëÿ, ïîñòàâùèêà (äàëåå Çàÿâèòåëü)
(àäðåñ, êîä ÎÊÏ)
â ëèöå________________________________________________________________
(Ô.È.Î. ðóêîâîäèòåëÿ)
çàÿâëÿåò, ÷òî____________________________________________________________________ (íàèìåíîâàíèå âèäà ïðîäóêöèè (óñëóãà), êîä ÎÊÏ, âûïóñêàåòñÿ ñåðèéíî èëè ïàðòèÿ)
âûïóñêàåìàÿ
ïî________________________________________________________
(íàèìåíîâàíèå
è ðåêâèçèòû
íîðìàòèâíîé
äîêóìåíòàöèè
èçãîòîâèòåëÿ
(ÒÓ, ñòàíäàðò)
áèîýíåðãåòè÷åñêè áåçîïàñíà, ñîîòâåòñòâóåò òðåáîâàíèÿì
______________________________________________________________________,
(íàèìåíîâàíèå
ÍÄ)
è ïðîñèò ïðîâåñòè ñåðòèôèêàöèþ äàííîé ïðîäóêöèè íà ñîîòâåòñòâèå òðåáîâàíèÿì óêàçàííûõ ñòàíäàðòîâ ïî ñõåìå____________________________________________ (íîìåð ñõåìû ñåðòèôèêàöèè ïî ÈÑÎ / ÌÝÊ )
2. Çàÿâèòåëü îáÿçóåòñÿ:
3.Äîïîëíèòåëüíûå ñâåäåíèÿ : ______________________________________________________
Ðóêîâîäèòåëü
ïðåäïðèÿòèÿ
_________ ____________________________
(ïîäïèñü) (ðàñøèôðîâêà
ïîäïèñè)
Ãëàâíûé áóõãàëòåð
_________ ____________________________
(ïîäïèñü) (ðàñøèôðîâêà
ïîäïèñè)
Ì.Ï. " " _______________ 199_ ã.
