SANTIERUL____________________

PUNCT DE LUCRU ______________

OBIECT ________________________

PROCES VERBAL
DE TRASARE A LUCRARILOR DE
__________________________________
___________________________________
Nr. ________ Data __________

Trasarea a fost executata pe baza planselor nr. __________________________

din proiect nr. ____________________ elaborat de proiectant : _________________
____________________________________________________________________
Elementul de reper si verificare este ( borna, constructia invecinata, etc.) :
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

avand coordonatele : X _________________

Y _________________
Z _________________
COTA _________________

Numele si prenumele Semnatura

EXECUTAT TRASAREA:________________________ ____________
_________________________ ____________
VERIFICAT: _________________________ ____________
_________________________ ____________

F-8.2-08 Rev. 0