UNITATEA_______________________________________________________________________________

SANTIERUL_____________________________________PUNCT DE LUCRU___________________________
OBIECTUL________________________________________________________________________________

PROCES-VERBAL DE RECEPIE
CALITATIV
Nr.______ Data______________

Cu ocazia verificrii efectuate la:

___________________________________________________________________________________________
___________________________________________________________________________________________
- Au sta la baza verificrilor urmtoarele elemente:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
- Din verificrile efectuate pe teren i examinarea documentelor au rezultat urmtoarele:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
- Au fost stabilite urmtoarele msuri:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
- Meniuni speciale:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Numele

Prenumele

Semntura

BENEFICIAR:____________________________________________________

____________

PROIECTANT:___________________________________________________

___________

EXECUTANT:____________________________________________________

____________