Unitatea: ________________ Cod Document : 2 -05

Obiectul:________________
NOTA DE REFUZ LA RECEPTIA CALITATIVA
A PRODUSELOR / MATERIALELOR
Nr. _______________ din ____________________

Catre*
_____________________________________________________________________________

Urmare verificarii calitative efectuata la urmatoarele (materiale, elemente prefabricate, confectii

metalice, etc.)_________________________________________________________________

furnizate de _________________________________________________________________

in calitate de _________________________________________________________________

cu certificatul de calitate nr. _______________________ depozitate la ______________

s-au constatat urmatoarele abateri calitative de la prevederile:……………………………………….

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Va rugam sa interveniti la furnizor ca in termen de ____________(sa remedieze, inlocuiasca)

urmatoarele___________________________________________________________________

_____________________________________________________________________________
necorespunzatoare calitativ.
In sprijinul solicitarii noastre anexam urmatoarele documente (buletine, procese verbale, etc.)

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

____________________________________________________________________________

Comisia de receptie:
Numele si prenumele Functia Semnatura

* Se trimite compartimentului aprovizionare si biroului de control al calitatii