NOTA DE CONSTATARE

CONSTANTINESCU GEORGE
NICOLAE I.I. CIF 40377388

Marca/tip utilaj ____________________________ Tip Motor ___________________

Nr.inventar/inmatriculare ____________________ An fabricatie ___________

In data de _________________ ore functionare/km ___________ la utilajul/autovehicolul mai sus

mentionat s-au constatat/reclamat urmatoarele defectiuni: _________________________________
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Pentru o verificare mai detaliata s-au efectuat urmatoarele operatii si prelucrari mecanice conexe :
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Dupa demontare/analiza am constatat urmatoarele:_______________________________________

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Parerea mea este :_________________________________________________________________

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Data ________________ Persoana constatatoare _____________________

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Stampila Semnatura _ _ _ _ _ _ _ _ _ _ _ _ _ _

Persoana prezenta/delegat _____________________

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Semnatura _ _ _ _ _ _ _ _ _ _ _ _ _ _ _