SANTIERUL:

PUNCT DE LUCRU:
OBIECT :

PROCES VERBAL
DE RECEPTIE CALITATIVA
Nr. ________ Data __________

Cu ocazia verificarii efectuate la : ___________________________________

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La baza verificarii au stat urmatoarele documente : ______________________
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Din verificarile effectuate pe teren si din examinarea documentelor au rezultat
urmatoarele : _________________________________________________________
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Au fost stabilite urmatoarele masuri ( concluzii ) :
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Mentiuni speciale : _______________________________________________
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Numele si prenumele Semnatura

CONSTRUCTOR: ________________________ ____________
BENEFICIAR: ________________________ ____________
PROIECTANT: ________________________ ____________