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UNITATEA ______________________________________________________________________________

____________________________________

ANTIER

PUNCT

DE

LUCRU

____________________________
OBIECTUL______________________________________________________________________________
_

PROCES-VERBAL PENTRU VERIFlCAREA CALITII


LUCRRILOR CE DEVIN ASCUNSE
Nr._____ Data_____________

Faza din lucrare supus verificrii:


__________________________________________________________________________________________
__________________________________________________________________________________________

Elementele de identificare (sector, poriune, ax, cot, etc.):


_________________________________________________________________________________________
_________________________________________________________________________________________

Verificrile s-au fcut pe baza prevederilor proiectului nr. _____________, planele nr.
________________ sau a dispoziiei de antier nr.______________ din data de
________________________ .
Concluzii:
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________

Numele

Prenumele

Semntura
CONSTRUCTOR: _________ ____________

___________________________

_____________
BENEFICIAR
_____________

_________ ____________

___________________________

Atestm refacerea (remedierea) lucrrilor conform prevederilor proiectului.


Data ______________
Numele

Prenumele

Semntura
CONSTRUCTOR: _________ ____________

___________________________

_____________
BENEFICIAR
_____________

_________ ____________

___________________________

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