UNITATEA ______________________________________________________________________________

SANTIERUL ____________________________________ PUNCT DE LUCRU ____________________________

OBIECTUL_______________________________________________________________________________

PROCES-VERBAL DE RECEPIE

CALITATIV
Nr._____ Data_____________

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: _________ ____________ ___________________________ _____________

PROIECTANT: _________ ____________ ___________________________ _____________
EXECUTANT: _________ ____________ ___________________________ _____________