UNITATEA_______________________________________________________________

SANTIER______________________PUNCT DE LUCRU__________________________
OBIECTUL_______________________________________________________________

PROCES VERBAL DE VERIFICARE A

COTEI DE SAPATURA
Nr . _______Data_____________

Am procedat la verificarea cotei de sapatura pentru _____________________

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
aferente obiectului __________________________________________________________
Verificarea s-a facut pe baza prevederilor plansei de executie nr. ______________
rezultand urmatoarele :______________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

BENEFICIAR : EXECUTANT :
Numele ……………………. Numele : ………………………
Semnatura : ………………… Semnatura : ……………………