UNITATEA :

SANTIERUL:
OBIECTUL:

PROCES-VERBAL DE RECEPŢIE CALITATIVĂ

Nr._____ Data_____________

Cu ocazia verificării efectuate la:

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- Au stat la baza verificărilor următoarele elemente:

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- Din verificările efectuate pe teren şi examinarea documentelor au rezultat următoarele:

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- Au fost stabilite următoarele măsuri:

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- Menţiuni speciale:
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Numele Prenumele Semnătura

BENEFICIAR: _____________
PROIECTANT: _________ ______ _________________________ _____________
EXECUTANT: _____________
R.T.E. ____________