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¦(ñâèäåòåëüñòâî î ñïåöèàëüíîé ïîäãîòîâêå àóäèòîðà N _____). ¦ ¦ ¦ ¦Çàìåñòèòåëü Ïðåäñåäàòåëÿ Ãîñêîìýêîëîãèè Ðîññèè ________________ ¦ ¦ (ïîäïèñü) ¦ ¦ ¦ ¦ Ì.Ï. "__" ____________ 199_ ã. ¦ +----------------------------------------------------------------+ (ïðàâàÿ ñòîðîíà äîêóìåíòà) +----------------------------------------------------------------+ ¦Äåéñòâèòåëüíî ïî "__" ____________ 200_ ã. ¦ ¦ ¦ ¦_______________________________________________________ Ì.Ï. ¦ ¦ (ïîäïèñü) ¦ ¦ ¦ ¦Ïðîøåë(à) ïåðåïîäãîòîâêó è ïîâûøåíèå êâàëèôèêàöèè â îáúåìå ¦ ¦________________ ÷àñîâ ¦ ¦â _____________________________________________________________ ¦ ¦ ¦ ¦Ïðîäëåíî äî "__" ________________ 200_ ã. ¦ ¦ ¦ ¦"__" ______________ 200_ ã. Ì.Ï. ¦ ¦ ¦ ¦Ïðîøåë(à) ïåðåïîäãîòîâêó è ïîâûøåíèå êâàëèôèêàöèè â îáúåìå ¦ ¦______________________ ÷àñîâ ¦ ¦â _____________________________________________________________ ¦ ¦ ¦ ¦Ïðîäëåíî äî "__" _______________ 200_ ã. ¦ ¦ ¦ ¦"__" ____________ 200_ ã. Ì.Ï. ¦ +----------------------------------------------------------------+ Ïðèëîæåíèå 2 ê "Âðåìåííîìó ïîðÿäêó àòòåñòàöèè ýêîëîãè÷åñêèõ àóäèòîðîâ" (ôîðìà) ËÈ×ÍÀß ÊÀÐÒÎ×ÊÀ ÝÊÎÀÓÄÈÒÎÐÀ 1. _______________________________________________________________ (Ô.È.Î. ïîëíîñòüþ) 2. Ïàñïîðò (ñåðèÿ, íîìåð, êåì è êîãäà âûäàí) _____________________ __________________________________________________________________ 3. Ìåñòî ðàáîòû, äîëæíîñòü _______________________________________ __________________________________________________________________ __________________________________________________________________ 4. Ó÷åíàÿ ñòåïåíü, ó÷åíîå çâàíèå _________________________________ 5. Ìåñòî æèòåëüñòâà, òåëåôîí _____________________________________ __________________________________________________________________ 6. Îáðàçîâàíèå (íàèìåíîâàíèå ó÷åáíîãî çàâåäåíèÿ, N äèïëîìà, íàèìåíîâàíèå ñïåöèàëüíîñòè, ãîä îêîí÷àíèÿ) ______________________ __________________________________________________________________ __________________________________________________________________ 7. Ïðîèçâîäñòâåííàÿ äåÿòåëüíîñòü ñ íà÷àëà òðóäîâîé äåÿòåëüíîñòè: __________________________________________________________________ N ï/ï Ìåñòî ðàáîòû Äîëæíîñòü Ñ êàêîãî ñðîêà ïî êàêîé 8. Ñïåöèàëüíîñòü (êâàëèôèêàöèÿ) ïî îïûòó ðàáîò (â òîì ÷èñëå â îáëàñòè îõðàíû îêðóæàþùåé ñðåäû è ïðèðîäîïîëüçîâàíèÿ) ____________ __________________________________________________________________ 9. Ïðîõîæäåíèå êóðñà ñïåöèàëüíîãî îáó÷åíèÿ â îáëàñòè ýêîëîãè÷åñêîãî àóäèðîâàíèÿ (íàèìåíîâàíèå ïðîãðàììû, ãäå è êîãäà ïðîõîäèë, N ñâèäåòåëüñòâà) _______________________________________ __________________________________________________________________ 10. Ïðàêòè÷åñêèé îïûò ðàáîòû â îáëàñòè ïðîâåðîê (àóäèòà): N ï/ï Äàòà Ìåñòî ïðîâåäåíèÿ Íàèìåíîâàíèå ×åì ïîäòâåðæäàåòñÿ ó÷àñòèå â ïðîâåðêå (àóäèòå) 11. Êîëè÷åñòâî íàó÷íûõ òðóäîâ (åñëè èìåþòñÿ) _____________________ Ïîäïèñü _______________________________ (Ô.È.Î.) "__" ______________ 19__ ã. Ïîäïèñü ________________ çàâåðÿåòñÿ (óêàçàòü) Ì.Ï. ________________ (ïîäïèñü) Ïðèëîæåíèå 3 ê "Âðåìåííîìó ïîðÿäêó àòòåñòàöèè ýêîëîãè÷åñêèõ àóäèòîðîâ" (îáëîæêà äîêóìåíòà) +----------------------------------------------------------------+ ¦ ¦ ¦ Ãåðá ¦ ¦ ¦ ¦ ÑÂÈÄÅÒÅËÜÑÒÂÎ ¦ ¦ Î ÏÐÎÕÎÆÄÅÍÈÈ ÎÁÓ×ÅÍÈß ¦ ¦ ÏÎ ÝÊÎËÎÃÈ×ÅÑÊÎÌÓ ÀÓÄÈÐÎÂÀÍÈÞ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +----------------------------------------------------------------+ (ëåâàÿ ñòîðîíà äîêóìåíòà) +----------------------------------------------------------------+ ¦ ÃÎÑÓÄÀÐÑÒÂÅÍÍÛÉ ÊÎÌÈÒÅÒ ÐÎÑÑÈÉÑÊÎÉ ÔÅÄÅÐÀÖÈÈ ¦ ¦ ÏÎ ÎÕÐÀÍÅ ÎÊÐÓÆÀÞÙÅÉ ÑÐÅÄÛ ¦ ¦ ¦ ¦ +--------+ ÑÂÈÄÅÒÅËÜÑÒÂÎ N _____ ¦ ¦ ¦ ¦ Î ÏÐÎÕÎÆÄÅÍÈÈ ÎÁÓ×ÅÍÈß ¦ ¦ ¦ ¦ ÏÎ ÝÊÎËÎÃÈ×ÅÑÊÎÌÓ ÀÓÄÈÐÎÂÀÍÈÞ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Íàñòîÿùåå ñâèäåòåëüñòâî âûäàíî _________________ ¦ ¦ +--------+ ________________________________________________ ¦ ¦________________ (ôàìèëèÿ, èìÿ, îò÷åñòâî) ¦ ¦(ëè÷íàÿ ïîäïèñü) ¦ ¦ ¦ ¦â òîì, ÷òî îí(à) â ïåðèîä ñ "__" ____________ 199_ ã. ïî¦ ¦"__" ___________ 199_ ã. ïðîøåë(à) ñïåöèàëüíóþ ïîäãîòîâêó (120¦ ¦÷àñîâ) è ïðàêòè÷åñêèå ñòàæèðîâêè ïî ýêîëîãè÷åñêîìó àóäèðîâàíèþ¦ ¦ïî ïðîãðàììå Ãîñóäàðñòâåííîãî êîìèòåòà Ðîññèéñêîé Ôåäåðàöèè ïî¦ ¦îõðàíå îêðóæàþùåé ñðåäû â ñîîòâåòñòâèè ñ òðåáîâàíèÿìè¦ ¦ìåæäóíàðîäíûõ ñòàíäàðòîâ ÈÑÎ ñåðèè 14000, íîðì è ïðàâèë¦ ¦ïðèðîäîîõðàíèòåëüíîãî çàêîíîäàòåëüñòâà Ðîññèéñêîé Ôåäåðàöèè ¦ ¦ ¦ ¦ Ì.Ï. Óïîëíîìî÷åííûé ïðåäñòàâèòåëü ¦ ¦ Ãîñêîìýêîëîãèè Ðîññèè (ïîäïèñü) ¦ ¦ "__" ____________ 199_ ã. ¦ +----------------------------------------------------------------+ (ïðàâàÿ ñòîðîíà äîêóìåíòà) +----------------------------------------------------------------+ ¦Ñâèäåòåëüñòâî äåéñòâèòåëüíî äî "__" ____________ 200_ ã. ¦ ¦ ¦ ¦Ïðàêòè÷åñêèå ñòàæèðîâêè (òðåíèíã) ïî ýêîëîãè÷åñêîìó àóäèðîâàíèþ¦ ¦îñóùåñòâëåíû â ïåðèîä ñ "__" ____________ 199_ ã. ïî¦ ¦"__" _______________ 199_ ã. ¦ ¦ ¦ ¦_______________________________________________________ (Ì.Ï.) ¦ ¦ (ïîäïèñü) ¦ ¦"__" ___________ 199_ ã. ¦ ¦ ¦ ¦Ñâåäåíèÿ èç Ñâèäåòåëüñòâà âêëþ÷åíû â ãîñóäàðñòâåííûé Ðååñòð ¦ ¦àòòåñòîâàííûõ ýêîàóäèòîðîâ Ðîññèéñêîé Ôåäåðàöèè "__" __________ ¦ ¦199_ ã. N _________ ¦ ¦ ¦ ¦Íàñòîÿùåå ñâèäåòåëüñòâî ÿâëÿåòñÿ îñíîâàíèåì äëÿ ïîëó÷åíèÿ ⦠¦óñòàíîâëåííîì ïîðÿäêå óäîñòîâåðåíèÿ ýêîàóäèòîðà è ïîñëåäóþùåãî¦ ¦ëèöåíçèðîâàíèÿ. ¦ ¦ ¦ ¦Ðóêîâîäèòåëü öåíòðà ¦ ¦ïî îáó÷åíèþ ýêîàóäèòîðîâ ¦ ¦ (ïîäïèñü) ¦ ¦"__" ____________ 199_ ã. ¦ +----------------------------------------------------------------+ Ïðèëîæåíèå 4 ê "Âðåìåííîìó ïîðÿäêó àòòåñòàöèè ýêîëîãè÷åñêèõ àóäèòîðîâ" (ðåêîìåíäóåìàÿ ôîðìà) ÇÀÊËÞ×ÅÍÈÅ - ÑÏÐÀÂÊÀ ÏÎ Ó×ÀÑÒÈÞ ÑÒÀÆÅÐÀ - ÀÓÄÈÒÎÐÀ ___________________ (ô.è.î.)  ÀÓÄÈÒÎÐÑÊÎÉ ÏÐÎÂÅÐÊÅ ÑÎÎÒÂÅÒÑÒÂÈß _____________________ (óêàçàòü îáúåêò ÝÀ) ÄÅÉÑÒÂÓÞÙÈÌ ÏÐÈÐÎÄÎÎÕÐÀÍÍÛÌ ÍÎÐÌÀÌ, ÏÐÀÂÈËÀÌ, ÒÐÅÁÎÂÀÍÈßÌ Íàìè, ýêîàóäèòîðîì, ÿâëÿþùèìñÿ Ãëàâíûì, __________________________ ________________________________________________________________ è ýêîàóäèòîðîì _____________________________________________________ ïðè ïðîâåðêå ñîîòâåòñòâèÿ ________________________________________ __________________________________________________________________ (óêàçàòü) äåéñòâóþùèì ïðèðîäîîõðàííûì íîðìàì, ïðàâèëàì, òðåáîâàíèÿì, íàñòîÿùèì ôèêñèðóåòñÿ ó÷àñòèå ñòàæåðà - àóäèòîðà _________________ ________________________ Ïåðåéòè íà ñòð.1ñòð.2Ïåðåéòè íà ñòð.3 |