UNITATEA ______________________________________________________________________________

SANTIERUL ____________________________________ PUNCT DE LUCRU ____________________________

OBIECTUL_______________________________________________________________________________

PROCES-VERBAL DE RECEPŢIE

CALITATIVĂ
Nr._____ Data_____________

Cu ocazia verificării efectuate la:

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- Au sta la baza verificărilor următoarele elemente:
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- Din verificările efectuate pe teren şi examinarea documentelor au rezultat următoarele:

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- Au fost stabilite următoarele măsuri:
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- Menţiuni speciale:
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Numele Prenumele Semnătura

BENEFICIAR: _________ ____________ ___________________________ _____________

PROIECTANT: _________ ____________ ___________________________ _____________
EXECUTANT: _________ ____________ ___________________________ _____________