UNITATEA________________________________________________________

SANTIERUL_____________________ PUNCT DE LUCRU ________________

OBIECTUL ________________________________________________________
TRONSONUL ____________TRAVEEA _____________ NIVELUL _________
PROCES VERBAL DE VERIFICARE
A NATURII TERENULUI DE FUNDARE
Nr.___________ Data ____________
1. Terenul de fundare este alcatuit din :
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2. Ca urmare a verificarilor se stabilesc urmatoarele :
a) Se poate trece la executarea urmatoarelor lucrari :
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b) Adancimea sapaturilor pana la cota _______________ , dupa care se va
intocmi un nou proces verbal .
c) Masuri suplimentare referitoare la fundatie :
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d) Solicitarea proiectantului pentru emiterea de solutie:
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e) Alte solutii :
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PARTICIPANTI :

Numele
Prenumele
Functia
Semnatura
Proiectant :__________________________________delegat proiect __________
Beneficiar : __________________________________ diriginte _____________
Constructor : ________________________________sef. pct. lucru ___________
_______________________________ coord. topogeodez _______