A TERENULUI DE FUNDARE NR. . .. , data............... .
Incheiat astazi______________________ cu ocazia verificarii efectuate
la:________________________________________________________________________ ________________________________________________________________ Au stat la baza verificarilor, urmatoarele documente__________________________ __________________________________________________________________________ __________________________________________________________________________ Din verificarile efectuate pe teren si examinarea documentelor au rezultat urmatoarele: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ ________________________________________________________________________ Au fost stabilite urmatoarele masuri (concluzii)________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________________________________ Mentiuni speciale: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
EXECUTANT (instalator,montator ..
PROIECTANT ..............................
BENEFICIAR Diriginte de antier ...........................