SANTIERUL____________________

PUNCT DE LUCRU ______________

OBIECT ________________________
PROCES VERBAL DE VERIFICARE A
ASPECTULUI BETONULUI DUPA DECOFRARE
SI POZITIONARE GOLURI TEHNOLOGICE SI DE INSTALATII
Nr. ________ Data __________
S-au verificat urmatoarele elemente de beton:__________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
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cuprins intre cotele : ________________________turnat pe data de _____________
Aspectul betonului dupa decofrare :__________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
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Existenta si pozitionarea golurilor verificate dupa plansele nr.______________
proiect nr._________________ elaborat de _________________________________
Se vor lua urmatoarele masuri : _____________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Numele si prenumele Semnatura
CONSTRUCTOR: ________________________ ____________
BENEFICIAR: ________________________ ____________
INSTALATOR: ________________________ ____________

Remedierea defectelor constatate s-a facut pe baza solutiei date de : ________

________________________________prin_________________________________
____________________________________________________________________
____________________________________________________________________
Se confirma executarea corespunzatoare ( de calitate ) a remedierilor.
Data : ___________________
Numele si prenumele Semnatura
CONSTRUCTOR: ________________________ ____________
BENEFICIAR: ________________________ ____________
INSTALATOR: ________________________ ____________