Muuncrepcrso Poccuficxofi (De.qepaquu no AenaM rpaxAaHcKOfi
O6OpOHSI,
qpe:sHqafiHbrM cr,rTyarlr{.flM I{ nI,IKBIIAau[u nocneAcTeufi ctuxkrilHHx 6eAcrsufi
lrasuoe ynpaBneHl{e MHC Poccuu no Tnepcrofi o6nacru
pa6omI nO KaruuuCKOMy' Kalr:uriCxOuy'
Or.qe:r ua.q:Opsoii AetTenbHoCTH I{ npOtfI'Inarcru'Iecrofi
rrly paftouau
Kecosoro
(uaa:opa) Hn'I opraHa MyHllu'InarbHoro xoHrpo:u)
" 29 "
A. Huxo:nxoe
uos6ps
20 19- t.
(aara cocraa,reuNr arra)
(Mecr () cocraBneuur axra)
11-00
(aPeltr cocraueunr anra)
AKT TIPOBEPKI,I
KOHTpOJIfl
MyHI{IIU[aJIbHOrO
opraHoM rocyAapcTBeHHOrO KOHTpOilq (uagsopa)' opraHoM
IopuAHIIecKoroJI[Iqa'I{HAIIBHAyaJIbHoronpeAflpIIHIIMaTeJIfl
Ne
llo
aapecy/aApecaM:
1
7
1
215
o6n. Kecosoropcxufi p-u, Huxomcroe c/ n,
480,Tee
l'Huxo
(ruecro nposeAeHur nPoeePrcu)
Ha
ocHoBaHIrI{:
KeconoropcKoMY
KOfo
Kec
Pacnoprleuux Har{arbHr.rKa oH[ vr IIP flo Karuuncrouy, Ka'rXSuUCrOrrAy,
Kalx3IrHCKOrO'
pafiouar,.t - fraeHoro focyAapcTBeHHofo IrHcneKTOpa Kauruncxoro,
or 11.1 1.2019 r. J'(b 215
HOMY H
fioHoe Tnepcxofi o6.nacru no
(su4.qoxyuenra
c yKa3aHueM peKgu3uroB (nolrep, aara))
rrpoBepKa B orHoIIreHpII{
IIIIAH OBA'I, BbIC3AHA'I
6rma nponeAeHa
(naanosar/ouenraHoBaJI, aoxyueHrapHar/srresaHa')
HuxoltoMvHuUunaltruoro 6rclxeruoro O6UeO6pagosarertrHOrO vqpeNleuug
arr tuKona
:
fIOrO'IuHcrzu{
(o6rcKr-gblgoKqlq
rro(noc,reAuee-npuua,rulun)tlHAt,IBItAyzIJIbHoronpeAnpnnuuarelr)
flaruw BpeM[ rPoBeAeHIrfl IPoBePKI{:
00
: uox6pq 20 lg r. c 16 .Iac.
:26
,:2g,:
qac,
0a
aBrygIa 20lg f c 10
rr,tan.
ao 17 \ac. 00 tr'lnu' Ilpo.uo:rNure'nrnocG
*"r.^
1 qac
11 qac. 00 uun. IlpololxnrelruocG 1'Iac
no HecKoJlbKHNl alpecaM)
ocyuecTBrreHull Aefl t.erbHocTlt trHAuBl4AyulLHofo npeanplrHhMaTeJlt
O6uas nporxonxllreJrbHocrb rpoBepKll:
2
pa6o'twx lHfl' I 2 qaca
(pa6oqux aneil/qacos)
p46OTbI no KauuHcKoMY'
oroenoM naAgopnoft AeqrelrHocr[ u npoouflaxru'Iecxofi
Kafl.sguHcKoNly, Kecosoropcxol\'{y paft oHaN'I
roHrpo'rr)
Arr cocrasr,ar.
(HauMeHoBaHue opraHa
rocyaaparrr*"-
C xonuefi paclop.,rxeuun/npuxa:a o
sure:auoi;i npoacPxr'r)
r{peKTop
Xecrxoea
t.,
KoHrpoJrfl (uaa:opa) HnlI oplaHa MyHHqunarbHoro
npoBeAeHr{r,r npoBepKr,r o3HaKorra:reu(lr): (:anorHrercx
(Qauu,ruu, llHuullarbl, noanucb,
aaT a,
u HoNrep peIxeHIIfl npoxypopa (ero :auecttrelr)
Peureuue o corJIacoBaHIrI4 rlpoBeAeHlrfl BHerlnaHoBofi BIIegAH
fiara
[*rnra.,.,
B
r.
11.11.2019
rpr
npoBeAeHuH
13-20
aper*r)
o
corJlacoBaggil IIpoBeAeHI'Iq npoBepKu:
nporcyparypu)
cryqae ueo6xoAuuocru corJIacoBaHH, npoBepKu c opraHa]\lu
Ilraqo(a), rpo BoAIrBIxee npoBepKy
:
AHapeeerq' rocyaapcrseHnltfi rHcneKrop
r\tryr!rrr
flepqee Kupurr
Kaurrg-crp-lo'--XalI-83JaLcKQIq
Har{aIbHuK OTAeneH[' oHA u
HaA3Opv.
noxapHoMv
KecoBoropcKoro pafioHoB TBepcKOit O6nacTn IIo
Kauru
-,,,,\ n-^o^nuDrrrprnlux) nnoBenKv: B Cnvt{ag
r rwyrlwp
(rfauurnn,
Hr\r,r.
orqecrBo
(no.*r*
npu ua,ruuutr), AorlxHocrb 'uonxHocrHoro
nrl"t
l1ff::-T:t:)-::l)'"T":::ll:fl1"il;]Jlffi:ffi;li'
nMeHa, orqecrBa (nocreaHee - npu ua'ruvnu)'
op.u,,rauHn yxa:srgarrce rpaun,rr',,,
ItlillX;Xlll',,'Jffiffit#;t'ffi:;I##,;i6"rn0,*
,",JXJ.',#;:X:,j:J;i,ffi;il;ffiT;;,;ffi5;;;ffi';;;;;;;il;;
no aKKpeauTaultl'1,
ne n6 arrnenffTaII,IH
arxpeanrau,r,
yni'un".* p.*u,,,,o".,,A*.,'.,uao6
BblaaBuef o
couaerellcrso)
op
lI HaHMeHoBaHHe opraHa
u
llpr.r nponeAeHlru npoBepKr{ rpucyrcrBoBaJrr,r
:
XecrKosa A.B. - 4uperrop
npe.acTaBHTeX,[ rcpfiAUqecKofo nuqa yIIonHoMoqeHHofo npeAcTaBHTenr HHAHBHAyiulbHoto IIpeAnpfiHlrMaTeJrrr ynoJrHoMoqeHHoto npeAcTaBHTeJL
caNroperynHpveMoii opraHusauun (a cnyuae npoBeaeHr.r.n
opmHn3aunu), npr.rcy"rcraoeaBrrHx npr npoBeaeHHu
,Tilffi##::T"J"..?J,:5*Mofi
B xoAe rrpoBeAeHr{q npoBepKr.r:
BLltrBiIeHbI HapylxeHLIfl o613arenbHbx rpe6oBaHr{it uilu rpe6oBaHr.rfi, ycranoureHHbrx MyHr.rqunanbHbrMH
npaBoBr,IMI4 aKTaMLI (c yxasanueM IloJloxenufi (iroprrraruBHbrx) npaBoBbrx aKToB): Aa
1. B nonreuleHrrrl
r. n.42 (x))
(fIfIP
B PO l\b 390 or
Orsercrseuubrfi MEOy Huxo,ro-IlororrrHcKafl HOIU B ,'rrrqe
xecrKosofi A.E.
B uoueureHlrflx Kore!'IbHoft orcyrcrByror aBToMarr{rrecKue fioxapnbre r.r3BerrlareJru. (O3 J\lb 123
or 22,07.2008 r. cr.6, CII 5.13130.2009 n.A4) OrnercrneHHbrfr MEOy Huro,ro-IloroquHcKaq
HOIII B "rrrqe ArrpeKTopa XecrKoeofi A.6.
25.04,2012
2.
(c yxa:auuev xapalffepa Hapyrueuuii; nHq, aonycrr.rBtxux Hapyureulr-a)
3JrerTpourrrroBofi pacnoro)r(eHbr roprcque MareprraJrbr.
ArrpeKTopa
yBeAoMneHuu o HarraJle ocyulecrBneHru
orAeJlbHbx BTIAOB [peArrprrHlrMarerrbcKofi AeqrerlHocru, o6asareJlbHbM Tpe6oBaHr.rru (c yKa3aHr.reM
noroxeHHfi (uopMarueuHx) npaeosurx axroe): Her
BbttBJIeHbI HecoorBercrBuq cnegenr.rfi, co4epxauluxcq
BbITBJIeHbI
B
(paxru HeBbrnoJrHeHLu npeAnuca]Huit, opraHoB rocyAapcrBeHHoto KoHTpon, (na4ropa),
(c yKi[aHHeM peKBr43r.rroB BbrAaHHbrx tpe4nucaunfi):
optaHoB MyHlruuilanbHoro KoHTpon,
HET
HODYIIIT'HHft HE BbIflBJICHO: HCT
3auuct n XypHa,r yqera rlpoBepor lopr.rA[rrecKoro Jrprqa, uH4r4BuryanbHoro
npeArrpr4Hr{MareJr.[,
rpoBoAI{MbIx opraHaMl{ rocyAapcrBeHHoro KoHTpoJrr (ua4sopa), opraHaMr.r Myur,ru[[iubHoro KoHrpoJr.,r
nueceua"(aano:rx-rgicx
nBu npoBeAeHr.rlr Bbre3AHoft nponepru) :
,//
i1.,, ,
(
no:iqff
.rr.!i!
r, (- - "
L,,
cr npoaeprloutero)
,,, ,rr, /
(noAnucr ynonHoMoqeHHoro npeacraBr.rrenfl rcpnAuqecKoro nHua,
llHAHBll.{yan6HOfO flpeAnpr.rHHMaTeJIt, ero ynolrHoMoqeHHoro npe,[craoure,rr)
XypHa-u yqera npoBepox ropuAIarlecKofo Jrrrua, uHAr{BuAyanbHoro flpeA[pr{Hr.rMareJr.s, npoBoAr,rMbrx
opfaHaMl4 focyAapcrBeHHoro KoHTponfl (na4sopa), opraHaMr.r MyHr.rurranbHoro KoHrpoJrfl, orcyrcrByer
(sauorurercr trpu npoBe.qeHr.rr,r Bbre3lHofi uponepru) :
(no:tnucs nposepqroqero)
araeMbre K aKTy Ao
(nolnncr yttonHoMoqeHHoro npeacraBHTern rcpuauqecKot'o r'rHua,
rrHArlBrl.(ytutbHoro npeanprlHnMaTer'lr, ero y[oJrHoMorleHHoro npeacrarure,r.a)
r.rcaHue Ns
2l5l
Ilonnltcn nHrt. flpoBoAr.rBrur.{x npoBepKy:
Irb 156
1193, aAu.
1- ..','', , . (
-
C atcrou npoBepKn o3HaKoMneu(a), xonuro aKTa co BceMr.r flp[noxeH]rrrvru nonf{un(a):
Xecrxoea A.B.- gupexrop
(Qalru,rnr,
I'INt.f,.
orqecrBo (nocre4uee - npu ua,rnvnu), AoJrxHocrL pyKoBoauTenr, HHoro aoJrxHocrHoro Jraqa Hru ynonHoMor{eHHoro flpeacraBrrreJu
ropr.tafiqecKofo,tHua, HHAHBUAyaT'lbHoro npeanpfiHr.rMaTenr, ero ynonHoMoqeHHoro npeacraeHre,,rc)
29"
.. 29
))
20rg r.
(noanu*)
flouerra o6 orxa:e o3HaKoMretufl.
c aKToM flpoBepKr{:
(noAnncr yfloJrHoMoqeHHoro AonxHocrxoro .nHua
npooepxy)
(.rrr4
u), npoBo.quBu]ero