Proces Verbal Nr.

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630-01-02 Rev. 0

Denumire echipament ______________________________________

Nr. Inventar / Nr. Serie ______________________________________

Cu ocazia reviziei – interventiei din data de ______________ am constatat,

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Necesar pentru a efectua reparaţia echipamentului: ________________________________

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Interventii realizate: ______________________________________________________________

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Numele şi semnătura

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