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:
____________________________________________________________________________________________
____________________________________________________________________________________________

- Au fost stabilite urmtoarele masuri(concluzii):

____________________________________________________________________________________________
____________________________________________________________________________________________

Meniuni speciale: ___________________________________________________________

____________________________________________________________________________________________

Numele

Prenumele

Semntura

PROIECTANT:

______________

______________

_____________

BENEFICIAR:

______________

______________

_____________

EXECUTANT:

______________

______________

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