UNITATEA:_____________________________________________________________

SANTIER_____________________PUNCT DE LUCRU_________________________
OBIECTUL :_____________________________________________________________

PROCES VERBAL DE PROBE TERMICE

NR.________ DATA______________________

- Dilatare
- Presiune rezistenta
- Etanseitate
- Spalare
- Lucrari ascunse

ADRESA : ____________________________________________________________
______________________________________________________________________
Proba s-a efectuat : hidraulic, cu agent termic propriu, prin sondaj, vizual

Presiunea hidraulica _____________ bar

Circulatie

Au participat la probe :

1) _______________________________________________________________
2) ________________________________________________________________
3) _______________________________________________________________
4) _______________________________________________________________

NUMELE PRENUMELE SEMNATURA

BENEFICIAR___________________________________________________________

EXECUTANT___________________________________________________________