modelo de acta de supervisión
Post on 24-Feb-2018
225 Views
Preview:
TRANSCRIPT
-
7/25/2019 Modelo de Acta de Supervisin
1/3
MUNICIPALIDADDISTRITAL DE PAIJAN
ACTA DESUPERVISIN
N
INFORMACIN DEL ADMINISTRADO
TITULAR Y/O
RAZN SOCIAL
DIRECCIN
DISTRITO PAIJANPROVINCIA
ASCOPE
REGION LA LIBERTAD
ACTIVIDAD(marcar con X)
COERCIALIZACIN ( ) PRODUCTIVA ( )
SERVICIOS ( ) OTROS!
TIPO DE
DOCUENTO RUC ( ) DNI ( )
DATOS DE LA SUPERVISIN
TIPO DESUPERVISIN
DE O"ICIO ( )"EC#A DESUPERVISIN
INICIO
DE PARTE ( ) CIERRE
$REARESPONSABLE DELA SUPERVISIN
SUPERVISOR CARGO DNI
SUPERVISIN AMBIENTAL
SUPERVISA
#UOS ( ) RUIDO ( ) ATERIALPARTICULADO
( )
GASES ( )RESIDUOSSLIDOSUNICIPALES
( )
RESIDUOS DE LASACTIVIDADES DECONSTRUCCIN YDEOLICIN
( )
VERTIIENTOS ( )OTROS !
-
7/25/2019 Modelo de Acta de Supervisin
2/3
MUNICIPALIDADDISTRITAL DE PAIJAN
ACTA DESUPERVISIN
N
HECHOS VERIFICADOS
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%&
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%&&&&&&&&
ACUERDOS / RECOMENDACIONES
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%&&
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%&&
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%&&
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
SUBSANACIN
(DE SER EL CASO)
-
7/25/2019 Modelo de Acta de Supervisin
3/3
MUNICIPALIDADDISTRITAL DE PAIJAN
ACTA DESUPERVISIN
N
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%&
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%&
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%&
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%&
PRXIMA ACCIN
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%&&&&&
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%&&
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%&&
SUPERVISOR ADMINISTRADO
NOBRE! NOBRE!
DNI! DNI!
top related