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["\nGemeinde:……………………………../ betroffene Adresse;Prz… ………………….………… / Objektart: ……….…………………. / Zone:…...…………..  \n\nKontaktperson(en) (Name, Adr. Tel, email): ……………………………………………………………………...……………………………………………………….."]
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["Skala Intensität:         stört kein bischen =  1    2   3    4    5    6    7    8    9    10  = stört unterträglich\n                                                                                       +---+--+---+---+---+---+---+---+----+              "]
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["Das Journal ist erforderlich um die Ursache/Störquelle zu eruieren. Es ist von dem Betroffenen/Kläger zu führen."]
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