UNITATEA_______________________________________________________________________________

SANTIER________________________________ PUNCT DE LUCRU______________________

OBIECTUL_______________________________________________________________________________

PROCES VERBAL DE RECEPTIE CALITATIVA

Nr.___________ Data____________

Cu ocazia verificarii efectuate la:

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Au stat la baza verificarilor urmatoarele documente:
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________________________________________________________________________________
________________________________________________________________________________
Din verificarile efectuate pe teren si examinarea documentelor au rezultat urmatoarele:
________________________________________________________________________________
________________________________________________________________________________
Au fost stabilite urmatoarele masuri (concluzii):
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Mentiuni speciale:
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BENEFICIAR
/DIRIGINTE DE PROIECTANT CONSTRUCTOR
SANTIER

Numele: ____________ ____________ ____________

Prenumele: ____________ ____________ ____________

Semnatura: ____________ ____________ ____________

RTE Nume Prenume ________________ Semnatura ________________