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UNITATEA ______________________________________________________________________________

ANTIER

____________________________________ PUNCT DE LUCRU ____________________________

OBIECTUL_______________________________________________________________________________
TRONSONUL_____________________ TRAVEEA ____________________ NIVELUL__________________

PROCES-VERBAL DE VERIFICARE A ASPECTULUI BETONULUI DUP DECOFRARE I


POZIIONARE GOLURI TEHNOLOGICE I DE INSTALAIE
Nr._____ Data_____________

S-au verificat urmtoarele elemente de beton:


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Cuprins ntre orele ______________________ turnat pe data____________________________


Aspectul betoanelor dup decofrare :
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Existena i poziia golurilor verificate dup planele nr. ________________________________


Se vor lua urmtoarele msuri la termenele nscrise mai jos
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Numele

Prenumele

Semntura

CONSTRUCTOR: _________ ____________ ___________________________ _____________


BENEFICIAR:

_________ ____________ ___________________________ _____________

INSTALATOR:

_________ ____________ ___________________________ _____________

Remedierea defectelor constatate s-a fcut pe baza soluiei date de:


_________ __________________ ______________________________________________________________
prin _______________________________________________________________________________________
Se confirm executarea corespunztoare (de calitate) a remedierilor.
Data ______________

Numele

Prenumele

Semntura

CONSTRUCTOR: _________ ____________ ___________________________ _____________


BENEFICIAR

_________ ____________ ___________________________ _____________