ÌÎÇ ÓÊÐÀ¯ÍÈ                                                                                                                         Ìåäè÷íà äîêóìåíòàö³ÿ
 ÍÀÇÂÀ ÓÑÒÀÍÎÂÈ                                                                                                                Ôîðìà N
                                                                                                                                                  Çàòâåðäæåíà ÌÎÇ Óêðà¿íè
 
 
 
 
ÐÎÁÎ×ÈÉ ÆÓÐÍÀË
ì³êðîá³îëîã³÷íèõ äîñë³äæåíü ïîâ³òðÿ
 
 
 Ðîçïî÷àòèé "__"_________200_ ð.                                                                              Çàê³í÷åíèé "__"_________200_ ð.
 
 Ìåòîäè â³äáîðó ïðîá ³ ëàáîðàòîðí³  äîñë³äæåííÿ ïðîâîäÿòüñÿ çã³äíî ç  íîðìàòèâíî-òåõí³÷íîþ äîêóìåíòàö³ºþ:
 1. ________________________________
 2. ________________________________
 3. ________________________________
 
Ðåºñòðà-ö³éíèé íîìåð
Äàòà êîíò-ðîëþ
Óñòàíîâà (â³ää³ë) 
 
ì³ñöå çàáîðó ïðîá
ʳëüê³ñòü êîëîí³é íà ïîæèâíîìó àãàð³
Õàðàêòåð ì³êðîôëîðè äîñë³äæåííÿ
Äàòà çàê³í÷åííÿ
 
 ϳäïèñ îñîáè, ÿêà ïðîâîäèëà äîñë³äæåííÿ
Âæèò³ çàõîäè
äî ðîáîòè
ï³ñëÿ ðîáîòè
ì'ÿñî- ïåïòîí-íèé
êðîâ'ÿíèé
ì'ÿñî- ïåïòîí-íèé
êðîâ'ÿíèé
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