UNITATEA____________________________________________________________________________

SANTIER______________________________ PUNCT DE LUCRU_____________________

OBIECTUL____________________________________________________________________________

PROCES VERBAL

DE TRASARE A LUCRARILOR

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Nr.___________ Data____________

Trasarea a fost executata pe baza planselor nr._____________ din proiectul nr.____________.

Elementul de reper si verificare este: (borna, constructia invecinata etc)

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X __________
avand coordonatele:
Y __________

Z __________

Cota ____________

Executat trasarea: Verificat:

Numele: ____________ ____________

Prenumele: ____________ ____________
Semnatura: ____________ ____________

Proiectant: Constructor RTE:

Numele: ____________ ____________ ____________

Prenumele: ____________ ____________ ____________

Semnatura: ____________ ____________ ____________