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UNITATEA __________________________

ANTIER ______________ ______________PUNCT DE LUCRU _________________________


OBIECTUL ______________________________________________________________________

PROCES VERBAL
DE RECEPIE CALITATIV I CANTITATIV
Nr.__________Data____________

Faza din lucrare supusa verificrii:


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- Au stat la baza verificrilor urma oarele documente:


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- Din verificrile efectuate pe teren si examinarea documentelor au


rezultat urmtoarele:
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- Au fost stabilite urmtoarele masuri(concluzii):


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Meniuni speciale: ___________________________________________________________


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Numele

Prenumele

Semntura

PROIECTANT:

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BENEFICIAR:

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EXECUTANT:

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