Proces verbal lucrari ascunse

UNITATEA __________________

SANTIERUL__________________

OBIECTUL___________________

PROCES VERBAL PENTRU VERIFICAREA CALITATII

LUCRARILOR CE DEVIN ASCUNSE

                                      Nr. _________ Data __________

Faza din lucrare supusa verificarii :

Elementele de identificare ( sector , portiune , ax , cota etc. ) :

Verificarile s-au facut pe baza prevederilor proiectului nr.­­­­____________plansele nr..__________sau a dispozitiei de santier nr. ____________din data de ________

Concluzii :

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Nume                 Prenume             Semnatura

CONSTRUCTOR:  _____________    _____________   _______________

BENEFICIAR :       _____________    _____________   _______________

Atestam  refacerea ( remedierea ) lucrarilor , conform prevederilor proiectului .

Data ______________

                                      Nume                 Prenume             Semnatura

CONSTRUCTOR:  _____________    _____________   _______________

BENEFICIAR :       _____________    _____________   _______________

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