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["附件4"]
["陆上石油天然气采油（气）单位安全生产基本情况普查登记表"]
["单位名称*",null,"经济类型*",null,"组织机构代码"]
["工商注册号",null,"登记机关",null,"登记日期","        年   月   日"]
["法人代表*",null,"办公室电话*",null,"移动电话*"]
["通讯地址*",{"$nulls":3},"邮政编码"]
["分管安全生产负责人*",null,"办公室电话*",null,"移动电话*"]
["安全管理部门负责人*",null,"办公室电话*",null,"移动电话*"]
["从业人员数量*","         人",null,"大专及以上学历从业人员数量","         人"]
["专职安全管理人员数量*","         人","注册安全工程师数量*","         人","特种作业人员数量*","         人"]
["上一年度安全生产费用提取额","      万元",null,"上一年度安全生产费用使用额","      万元"]
["采矿许可证证书编号*",null,"发证机关",null,"有效期至*","         年   月   日"]
["矿区面积*","         km2",null,"主要开采介质*","○原油  ○天然气"]
["安全生产许可证编号*",null,"发证机关*",null,"有效期至*","         年   月   日"]
["上一年度原油产量*","       万吨",null,"上一年度天然气产量*","         亿立方米"]
["油井数量*","       口",null,"高含硫油井数量*","       口"]
["气井数量*","       口",null,"高含硫气井数量*","       口"]
["集输管道数量*","       条",null,"集输管道长度*","       公里"]
["联合站数量*","       座",null,"设计处理能力*","       万吨/年"]
["储罐数量*","       个",null,"储罐总容量*","       万吨"]
["天然气处理厂数量*","       座",null,"设计处理能力*","       亿立方米/年"]
["填写人姓名*",null,null,"填报日期*","      年   月   日"]
["填表人电话*",null,null,"填表人电子邮箱*"]
["核对人姓名*",null,null,"核对日期*","      年   月   日"]
["核对人电话*",null,null,"核对人电子邮箱*"]
["说明：带“*”项为必填项，必须按照要求填写方可上报；其他项为选填项，可根据需要选择填写或不填写，不影响上报。"]

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