UNIVERSAL

CONSTRUCT
IMPEX

Proces verbal pentru lucrri speciale

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Punct de lucru______________________________________________________________
Obiectul __________________________________________________________________

Nr. ______Data __________

1. Denumirea obiectivului de investiii _________________________________________

1.1. Numr i denumire obiect _________________________________________________
1.2. Denumire instalaie ______________________________________________________
Nr.proiect _____________________
1.3.
Denumire

Utilaj ____________________ Poz. Montaj ________________

_____________________________________________________
Conduct* ________________ Nr. reper * _________________

1.4.
Numr desen de montaj _____________________________________________
__________________________________________________________________
Numr schem izometric_____________________________________________
1.5.
Instruciuni montaj nr. _______________________________________________
_________________________________________________________________
Caiet sarcini nr.____________________________________________________
2. Datele privind operaiile de:
2.1. Splare: tipul** ____________________ durata ___________________ ( minute )
2.2. Decapare: tipul**____________________________________________
2.3. Suflare: durata ____________________ ( minute )
2.4. Inertizare __________________________________________________
2.5. Pasivizare: tipul** _________________ durata ____________________ ( minute )
2.6. Alte operaii*** _____________________________________________________
______________________________________________________________________

3. CONCLUZII:
________________________________________________________________________________________
______________________________________________________________

UNIVERSAL
CONSTRUCT
IMPEX

Proces verbal pentru lucrri speciale

Cod:
Ediia 1 / Revizia 0
Pagina 2 din 2

Operaiile de mai sus, executate n conformitate cu prevederile proiectelor de execuie, a normelor i

normativelor n vigoare sunt corespunztoare, putndu-se trece la urmtoarea faz de execuie.
PARTICIPANI:
EXECUTANT
BENEFICIAR

Numele i prenumele
______________________
______________________
_______________________
_______________________

Funcia
__________
__________
___________
___________

Semntura
___________
___________
___________
___________