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VALE DE RESIDUOS

Instalación/Embarcación: Fecha:

Nombre del Proyecto:

Residuos: Peso (kg)

1.
2.
Peligrosos / No Peligrosos
3.
4.

Nombre y firma:

VALE DE RESIDUOS

Instalación/Embarcación: Fecha:

Nombre del Proyecto:

Residuos: Peso (kg)

1.
2.
Peligrosos / No Peligrosos
3.
4.

Nombre y firma:

VALE DE RESIDUOS

Instalación/Embarcación: Fecha:

Nombre del Proyecto:

Residuos: Peso (kg)

1.
2.
Peligrosos / No Peligrosos
3.
4.

Nombre y firma:

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