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UNITATEA ______________________________________________________________________________

ANTIER ____________________________________ PUNCT DE LUCRU ____________________________

OBIECTUL_______________________________________________________________________________

PROCES-VERBAL DE CONSTATARE/VERIFICARE
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Cu ocazia verificrii efectuate la:


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- Au sta la baza verificrilor urmtoarele elemente:


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- Din verificrile efectuate pe teren i examinarea documentelor au rezultat urmtoarele:


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Au fost stabilite urmtoarele msuri:


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Meniuni speciale:
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Numele

Prenumele

Semntura

BENEFICIAR: _________ ____________

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PROIECTANT: _________ ____________

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EXECUTANT: _________ ____________

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