Cng ho x hi ch ngha vit nam

c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 30 thng 05 nm
2016

Bin bn S: 01/BBNT
Bin bn nghim thu ni b cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Cng tc kho st.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.
1. i tng nghim thu: iu tra thu thp s liu lm vic vi a phng v gii
phng mt bng, dch chuyn cng trnh cng .
L trnh: Km17+232 -:- Km28+550
2. Thnh phn trc tip nghim thu
a- i din cng ty: Phng k hoch k thut
ng: L Tin Dng Chc v: Cn b KH-KT
b- i din i kho st:
ng: L Trung Kin Chc v: Ch nhim kho st a hnh
3.Thi gian nghim thu:
Bt u : 10h30 , Ngy 30 thng 05 nm 2016
Kt thc: 11h30 , Ngy 30 thng 05 nm 2016
Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4. nh gi cng vic thc hin
a- V ti liu lm cn c nghim thu
Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l
cht lng v bo tr cng trnh Xy dng.
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang.
Kt qu kim tra thc t hin trng.
 Nht k kho st.
Quy trnh, quy phm thi cng v nghim thu.
b- V cht lng, khi lng cng vic xy dng:
Cht lng cng vic: t yu cu.
Khi lng c th nh sau:
n Khi lng
TT Ni dung cng vic Ghi ch
v tnh thc hin
(1) (2) (3) (4) (5)
iu tra thu thp s liu lm vic vi a
phng v gii phng mt bng, dch cng 10,00
chuyn cng trnh cng .
c- Cc kin khc : Khng
5. Kt lun: Thng nht nghim thu khi lng cng vic trn.

PHNG K HOCH K THUT I DIN I KHO ST

L Tin Dng L Trung Kin

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 30 thng 05 nm
2016
.
Phiu yu cu nghim thu
S: 01/YCNT
Nghim thu cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Cng tc kho st.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.

Knh gi: Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang
Cn c hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban
QLDA TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty
CP t vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc
t V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
Nh thu chng ti tin hnh iu tra thu thp s liu lm vic vi a phng v
gii phng mt bng, dch chuyn cng trnh cng. Chng ti, Cng ty CP t vn u t
v xy dng Quc t cam kt kim tra s ph hp v cht lng cng vic ni trn l
m bo yu cu k thut theo ng hp ng k v cng duyt v cc cng vic
ni trn c thc hin ng theo cc quy nh ca Lut Xy dng s 50/2014/QH13
ngy 18/6/2014 v xy dng, Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015
ca Chnh ph v Qun l cht lng v bo tr cng trnh Xy dng.
Chng ti ngh Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang.
ng vo lc: 14h00 , Ngy 01 thng 06 nm 2016.
C mt ti hin trng D n: Ci to, nng cp ng tnh 295 (on Vi - Bn
Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
a im: Huyn Lng Giang, tnh Bc Giang. tham gia nghim thu
cng vic ni trn.
TM NH THU
CH NHIM KHO ST A HNH

L Trung Kin
 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 01 thng
06 nm 2016

BIN BN S: 01/ NT-CVXD

NGHIM THU CNG VIC XY DNG

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.
1. i tng nghim : iu tra thu thp s liu lm vic vi a phng v gii
phng mt bng, dch chuyn cng trnh cng
L trnh: Km17+232 -:- Km28+550.
2. Thnh phn trc tip nghim thu
a/ i din: Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang.
- ng: Nguyn Vit Bch Chc v: Cn b Ban QLDA
b/ i din nh thu: Cng ty c phn T vn u t v xy dng Quc t.
- ng: L Tin Dng Chc v: Cn b KH-KT
3. Thi gian v a im nghim thu
- Bt u : 14h00 , Ngy 01 thng 06 nm 2016
- Kt thc : 14h30 , Ngy 01 thng 06 nm 2016
- Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4. Cn c nghim thu
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang;
Bin bn nghim thu ni b s: 01/BBNT;
Phiu yu cu nghim thu s: 01/YCNT;
H s kho st do Cng ty CP t vn u t v xy dng Quc t lp;
 Nht k kho st, Nht k gim st, cc bin bn lm vic vi a phng.
5. nh gi v khi lng v cht lng cng vic thc hin:
- Cht lng: m bo cht lng.
- Khi lng: c th nh sau
n
Khi lng Khi lng
TT Ni dung cng vic v Ghi ch
thc hin nghim thu
tnh
(1) (2) (3) (4) (5) (6)
iu tra thu thp s liu lm
vic vi a phng v gii
cng 10,00 10,00
phng mt bng, dch chuyn
cng trnh cng .
6. Kt lun nghim thu: ng nghim thu, cho trin khai cc cng
vic tip theo.

I DIN CH U T I DIN NH THU

Nguyn Vit Bch L Tin Dng

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 25 thng 05 nm
2016

Bin bn S: 02/BBNT
Bin bn nghim thu ni b cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.
1. i tng nghim thu: Li khng ch mt bng v cao
L trnh: Km17+232 -:- Km28+550.
2.Thnh phn trc tip nghim thu:
a- i din cng ty: Phng k hoch k thut
ng: L Tin Dng Chc v: Cn b KH-KT
b- i din i kho st:
ng: L Trung Kin Chc v: Ch nhim kho st a hnh
3.Thi gian nghim thu:
Bt u : 10h30 , Ngy 25 thng 05 nm 2016.
Kt thc :11h30 , Ngy 25 thng 05 nm 2016.
Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4.nh gi cng vic thc hin:
a- V ti liu lm cn c nghim thu:
Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l
cht lng v bo tr cng trnh Xy dng.
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
 Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang.
Kt qu kim tra thc t hin trng.
Nht k kho st.
Quy trnh, quy phm thi cng v nghim thu.
b- V cht lng, khi lng cng vic:
Cht lng cng vic: t yu cu.
Khi lng c th nh sau:
n Khi lng
TT Ni dung cng vic Ghi ch
v tnh thc hin
(1) (2) (3) (4) (5)
1 Li khng ch mt bng v cao
ng chuyn cp II im 0,00
Thy chun k thut Km 14,56
c- Cc kin khc : Khng
5. Kt lun: Thng nht nghim thu khi lng cng vic trn.

PHNG K HOCH K THUT I DIN I KHO ST

L Tin Dng L Trung Kin

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 25 thng 05 nm
2016
.
Phiu yu cu nghim thu
S: 02/YCNT
Nghim thu cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.

Knh gi: Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang
Cn c hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban
QLDA TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty
CP t vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng
Quc t V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh
295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang. Nh thu
chng ti t chc kho st lp li khng ch mt bng v cao. Chng ti, Cng ty
CP t vn u t v xy dng Quc t cam kt kim tra s ph hp v cht lng cng
vic ni trn l m bo yu cu k thut theo ng hp ng k, cng v Phng
n k thut kho st c ph duyt. Cc cng vic ni trn c thc hin ng
theo cc quy nh ca Lut Xy dng s 50/2014/QH13 ngy 18/6/2014 v xy dng, Ngh
nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l cht lng
v bo tr cng trnh Xy dng.
Chng ti ngh Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang.
ng vo lc: 14h00 , Ngy 26 thng 05 nm 2016.
C mt ti hin trng D n: Ci to, nng cp ng tnh 295 (on Vi - Bn
Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
a im: Huyn Lng Giang, tnh Bc Giang. tham gia nghim thu cng vic
ni trn.
TM NH THU
CH NHIM KHO ST A HNH

L Trung Kin
 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 26 thng 05 nm
2016

BIN BN S: 02/ NT-CVXD

NGHIM THU CNG VIC XY DNG

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.
1. i tng nghim: Li khng ch mt bng v cao.
L trnh: Km17+232 -:- Km28+550
2. Thnh phn trc tip nghim thu
a/ i din: Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang.
- ng: Nguyn Vit Bch Chc v: Cn b Ban QLDA
b/ i din nh thu: Cng ty c phn T vn u t v xy dng Quc t.
- ng: L Tin Dng Chc v: Cn b KH-KT
3. Thi gian v a im nghim thu
- Bt u : 14h00 , Ngy 26 thng 05 nm 2016
- Kt thc : 14h30 , Ngy 26 thng 05 nm 2016
- Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4. Cn c nghim thu
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang;
Bin bn nghim thu ni b s: 02/BBNT;
Phiu yu cu nghim thu s: 02/YCNT;
H s kho st do Cng ty CP t vn u t v xy dng Quc t lp;
Nht k kho st, nht k gim st.
5. nh gi v khi lng v cht lng cng vic thc hin:
- Cht lng: m bo cht lng.
- Khi lng: c th nh sau:
n
Khi lng Khi lng
TT Ni dung cng vic v Ghi ch
thc hin nghim thu
tnh
(1) (2) (3) (4) (5) (6)
Li khng ch mt bng v
1
cao
ng chuyn cp II im 0,00 0,00
Thy chun k thut Km 14,56 14,45
6. Kt lun nghim thu: ng nghim thu, cho trin khai cc cng
vic tip theo.

I DIN CH U T I DIN NH THU

Nguyn Vit Bch L Tin Dng

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 22 thng 06 nm 2016

Bin bn S: 03/BBNT
Bin bn nghim thu ni b cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.
1. i tng nghim thu: Kho st tuyn
L trnh: Km17+232 -:- Km28+550
2.Thnh phn trc tip nghim thu:
a- i din cng ty: Phng k hoch - k thut
ng: L Tin Dng Chc v: Cn b KH-KT
b- i din i kho st:
ng: L Trung Kin Chc v: Ch nhim kho st a hnh
3.Thi gian nghim thu:
Bt u : 10h30, Ngy 22 thng 06 nm 2016
Kt thc:11h30 , Ngy 22 thng 06 nm 2016
Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4.nh gi cng vic xy dng thc hin:
a- V ti liu lm cn c nghim thu:
Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l
cht lng v bo tr cng trnh Xy dng.
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang.
Kt qu kim tra thc t hin trng.
 Nht k kho st.
Quy trnh, quy phm thi cng v nghim thu.
b- V cht lng, khi lng cng vic:
Cht lng cng vic: t yu cu.
Khi lng: C ph lc chi tit km theo.
c- Cc kin khc : Khng
5.Kt lun: Thng nht nghim thu khi lng cng vic trn.

PHNG K HOCH K THUT I DIN I KHO ST

L Tin Dng L Trung Kin

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 22 thng 06 nm
2016
.
Phiu yu cu nghim thu
S: 03/YCNT
Nghim thu cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.

Knh gi: Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang
Cn c hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban
QLDA TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty
CP t vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng
Quc t V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh
295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
Nh thu chng ti t chc kho st o v bnh trn cn vi t l bnh
1/1000, o v trc dc v trc ngang trn cn. Chng ti, Cng ty CP t vn u t v xy
dng Quc t cam kt kim tra s ph hp v cht lng cng vic ni trn l m bo
yu cu k thut theo ng hp ng k, cng v Phng n k thut kho st
c ph duyt. Cc cng vic ni trn c thc hin ng theo cc quy nh ca Lut
Xy dng s 50/2014/QH13 ngy 18/6/2014 v xy dng, Ngh nh s 46/2015/N-CP
ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l cht lng v bo tr cng trnh
Xy dng.
Chng ti ngh Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang.
ng vo lc: 14h00 , Ngy 23 thng 06 nm 2016.
C mt ti hin trng D n: Ci to, nng cp ng tnh 295 (on Vi - Bn
Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
a im: Huyn Lng Giang, tnh Bc Giang. tham gia nghim thu cng vic
ni trn.
TM NH THU
CH NHIM KHO ST A HNH

L Trung Kin
 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 23 thng
06 nm 2016

BIN BN S: 03/NT-CVXD
NGHIM THU CNG VIC XY DNG

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho a hnh.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.
1. i tng nghim : Kho st tuyn
L trnh: Km17+232 -:- Km28+550.
2. Thnh phn trc tip nghim thu:
a/ i din: Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang.
- ng: Nguyn Vit Bch Chc v: Cn b Ban QLDA
b/ i din nh thu: Cng ty c phn T vn u t v xy dng Quc t.
- ng: L Tin Dng Chc v: Cn b KH-KT
3. Thi gian v a im nghim thu:
- Bt u : 14h00 , Ngy 23 thng 06 nm 2016
- Kt thc : 14h30 , Ngy 23 thng 06 nm 2016
- Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4. Cn c nghim thu:
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang;
Bin bn nghim thu ni b s: 03/BBNT;
Phiu yu cu nghim thu s: 03/YCNT;
H s kho st do Cng ty CP t vn u t v xy dng Quc t lp;
Nht k kho st, nht k gim st.
5. nh gi v khi lng v cht lng cng vic thc hin
- Cht lng: m bo cht lng.
- Khi lng: C ph lc chi tit km theo.
6. Kt lun nghim thu: ng nghim thu, cho trin khai cc cng
vic tip theo.

I DIN CH U T I DIN NH THU

Nguyn Vit Bch L Tin Dng

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 10 thng 06 nm
2016

Bin bn S: 04/BBNT
Bin bn nghim thu ni b cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.
1. i tng nghim thu: Kho st cng trnh thot nc nh.
L trnh: Km17+232 -:- Km28+550
2.Thnh phn trc tip nghim thu
a- i din cng ty: Phng k hoch k thut
ng: L Tin Dng Chc v: Cn b KH-KT
b- i din i kho st:
ng: L Trung Kin Chc v: Ch nhim kho st a hnh
3.Thi gian nghim thu
Bt u : 10h30 , Ngy 10 thng 06 nm 2016
Kt thc: 11h30 , Ngy 10 thng 06 nm 2016
Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4.nh gi cng vic xy dng thc hin
a- V ti liu lm cn c nghim thu:
Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l
cht lng v bo tr cng trnh Xy dng.
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang.
 Kt qu kim tra thc t hin trng.
Nht k kho st.
Quy trnh, quy phm thi cng v nghim thu.
b- V cht lng, khi lng cng vic:
Cht lng cng vic: t yu cu.
Khi lng c th nh sau:
Khi
n v
TT Ni dung cng vic lng Ghi ch
tnh
thc hin
(1) (2) (3) (4) (5)
1 Kho st cng trnh thot nc nh
Kho st ng k cng c Cng 5,00
iu tra hin trng cng khu nh Cng 4,00
c- Cc kin khc : Khng
5.Kt lun: Thng nht nghim thu khi lng cng vic trn.

PHNG K HOCH K THUT I DIN I KHO ST

L Tin Dng L Trung Kin

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 10 thng 06 nm
2016
.
Phiu yu cu nghim thu
S: 04/YCNT
Nghim thu cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.

Knh gi: Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang
Cn c hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban
QLDA TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty
CP t vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng
Quc t V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh
295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
Nh thu chng ti t chc iu tra hin trng, khu thot nc nh. Chng ti,
Cng ty CP t vn u t v xy dng Quc t cam kt kim tra s ph hp v cht
lng cng vic ni trn l m bo yu cu k thut theo ng hp ng k, cng
v Phng n k thut kho st c ph duyt. Cc cng vic ni trn c thc
hin ng theo cc quy nh ca Lut Xy dng s 50/2014/QH13 ngy 18/6/2014 v xy
dng, Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l
cht lng v bo tr cng trnh Xy dng.
Chng ti ngh Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang.
ng vo lc: 14h00 , Ngy 11 thng 06 nm 2016.
C mt ti hin trng D n: Ci to, nng cp ng tnh 295 (on Vi - Bn
Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
a im: Huyn Lng Giang, tnh Bc Giang. tham gia nghim thu cng vic
ni trn.
TM NH THU
CH NHIM KHO ST A HNH

L Trung Kin
 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 11 thng
06 nm 2016

BIN BN S: 04/NT-CVXD
NGHIM THU CNG VIC XY DNG

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.
1. i tng nghim : Kho st cng trnh thot nc nh.
L trnh: Km17+232 -:- Km28+550
2. Thnh phn trc tip nghim thu:
a/ i din: Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang.
- ng: Nguyn Vit Bch Chc v: Cn b Ban QLDA
b/ i din nh thu: Cng ty c phn T vn u t v xy dng Quc t.
- ng: L Tin Dng Chc v: Cn b KH-KT
3. Thi gian v a im nghim thu:
- Bt u : 14h00 , Ngy 11 thng 06 nm 2016
- Kt thc : 14h30 , Ngy 11 thng 06 nm 2016
- Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4. Cn c nghim thu:
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang;
Bin bn nghim thu ni b s: 04/BBNT;
Phiu yu cu nghim thu s: 04/YCNT;
H s kho st do Cng ty CP t vn u t v xy dng Quc t lp;
Nht k kho st, cc bin bn lm vic vi a phng.
5. nh gi v khi lng v cht lng cng vic thc hin:
- Cht lng: m bo cht lng.
- Khi lng: c th nh sau:
n v Khi lng Khi lng Ghi
TT Ni dung cng vic
tnh thc hin nghim thu ch
(1) (2) (3) (4) (5) (6)
Kho st cng trnh thot nc
1
nh
Kho st ng k cng c Cng 5,00 5,00
iu tra hin trng cng khu
Cng 4,00 4,00
nh
6. Kt lun nghim thu: ng nghim thu, cho trin khai cc cng
vic tip theo.

I DIN CH U T I DIN NH THU

Nguyn Vit Bch L Tin Dng

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 13 thng 06 nm
2016

Bin bn S: 05/BBNT
Bin bn nghim thu ni b cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km18+503,23 v Km25+575,34; T 295, tnh Bc Giang.
1. i tng nghim thu: Kho st a hnh cu.
L trnh: Km18+503,23 v Km25+575,34
2.Thnh phn trc tip nghim thu
a- i din cng ty: Phng k hoch k thut
ng: L Tin Dng Chc v: Cn b KH-KT
b- i din i kho st:
ng: L Trung Kin Chc v: Ch nhim kho st a hnh
3.Thi gian nghim thu
Bt u : 10h30 , Ngy 12 thng 06 nm 2016
Kt thc: 11h30 , Ngy 12 thng 06 nm 2016
Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4.nh gi cng vic xy dng thc hin
a- V ti liu lm cn c nghim thu:
Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l
cht lng v bo tr cng trnh Xy dng.
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang.
 Kt qu kim tra thc t hin trng.
Nht k kho st, nht k gim st.
Quy trnh, quy phm thi cng v nghim thu.
b- V cht lng, khi lng cng vic
Cht lng cng vic: t yu cu.
Khi lng: C bng ph lc chi tit km theo.
c- Cc kin khc : Khng
5. Kt lun: Thng nht nghim thu khi lng cng vic trn.

PHNG K HOCH K THUT I DIN I KHO ST

L Tin Dng L Trung Kin

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 13 thng 06 nm
2016
.
Phiu yu cu nghim thu
S: 05/YCNT
Nghim thu cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km18+503,23 v Km25+575,34; T 295, tnh Bc Giang.

Knh gi: Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang
Cn c hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban
QLDA TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty
CP t vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng
Quc t V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh
295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
Nh thu chng ti t chc kho st a hnh cu. Chng ti, Cng ty CP t vn
u t v xy dng Quc t cam kt kim tra s ph hp v cht lng cng vic ni
trn l m bo yu cu k thut theo ng hp ng k, cng v Phng n k
thut kho st c ph duyt. Cc cng vic ni trn c thc hin ng theo cc
quy nh ca Lut Xy dng s 50/2014/QH13 ngy 18/6/2014 v xy dng, Ngh nh s
46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l cht lng v bo
tr cng trnh Xy dng.
Chng ti ngh Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang.
ng vo lc: 14h00 , Ngy 14 thng 06 nm 2016
C mt ti hin trng D n: Ci to, nng cp ng tnh 295 (on Vi - Bn
Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
a im: Huyn Lng Giang, tnh Bc Giang. tham gia nghim thu cng vic
ni trn.
TM NH THU
CH NHIM KHO ST A HNH

L Trung Kin
 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 14 thng
06 nm 2016

BIN BN S: 05/NT-CVXD
NGHIM THU CNG VIC XY DNG

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km18+503,23 v Km25+575,34; T 295, tnh Bc Giang.
1. i tng nghim : Kho st a hnh cu
L trnh: Km18+503,23 v Km25+575,34.
2. Thnh phn trc tip nghim thu
a/ i din: Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang.
- ng: Nguyn Vit Bch Chc v: Cn b Ban QLDA
b/ i din nh thu: Cng ty c phn T vn u t v xy dng Quc t.
- ng: L Tin Dng Chc v: Cn b KH-KT
3. Thi gian v a im nghim thu
- Bt u : 14h00 , Ngy 14 thng 06 nm 2016
- Kt thc : 14h30 , Ngy 14 thng 06 nm 2016
- Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4. Cn c nghim thu
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang;
Bin bn nghim thu ni b s: 05/BBNT;
Phiu yu cu nghim thu s: 05/YCNT;
H s kho st do Cng ty CP t vn u t v xy dng Quc t lp;
Nht k kho st, nht k gim st.
5. nh gi v khi lng v cht lng cng vic thc hin:
- Cht lng: m bo cht lng.
- Khi lng: c bng ph lc chi tit km theo.
6. Kt lun nghim thu: ng nghim thu, cho trin khai cc cng
vic tip theo.

I DIN CH U T I DIN NH THU

Nguyn Vit Bch L Tin Dng

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 24 thng 06 nm
2016

Bin bn S: 06/BBNT
Bin bn nghim thu ni b cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km25+575,34; T 295, tnh Bc Giang.
1. i tng nghim thu: Kho st tuyn trnh.
L trnh: Km25+575,34
2.Thnh phn trc tip nghim thu
a- i din cng ty: Phng k hoch k thut
ng: L Tin Dng Chc v: Cn b KH-KT
b- i din i kho st:
ng: L Trung Kin Chc v: Ch nhim kho st a hnh
3.Thi gian nghim thu
Bt u : 10h30 , Ngy 24 thng 06 nm 2016
Kt thc: 11h30 , Ngy 24 thng 06 nm 2016
Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang
4.nh gi cng vic xy dng thc hin
a- V ti liu lm cn c nghim thu
Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l
cht lng v bo tr cng trnh Xy dng.
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
 Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang.
Kt qu kim tra thc t hin trng.
Nht k kho st.
Quy trnh, quy phm thi cng v nghim thu.
b- V cht lng, khi lng cng vic
Cht lng cng vic: t yu cu.
Khi lng: C bng ph lc chi tit km theo.
c- Cc kin khc : Khng
5.Kt lun: Thng nht nghim thu khi lng cng vic trn.

PHNG K HOCH K THUT I DIN I KHO ST

L Tin Dng L Trung Kin

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 24 thng 06 nm
2016
.
Phiu yu cu nghim thu
S: 06/YCNT
Nghim thu cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh cu.
a im : Km25+575,34; T 295, tnh Bc Giang.

Knh gi: Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang
Cn c hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban
QLDA TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty
CP t vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng
Quc t V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh
295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
Nh thu chng ti t chc kho st a hnh cu on tuyn trnh cu. Chng ti,
Cng ty CP t vn u t v xy dng Quc t cam kt kim tra s ph hp v cht
lng cng vic ni trn l m bo yu cu k thut theo ng hp ng k, cng
v Phng n k thut kho st c ph duyt. Cc cng vic ni trn c thc
hin ng theo cc quy nh ca Lut Xy dng s 50/2014/QH13 ngy 18/6/2014 v xy
dng, Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l
cht lng v bo tr cng trnh Xy dng.
Chng ti ngh Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang.
ng vo lc: 14h00 , Ngy 25 thng 06 nm 2016.
C mt ti hin trng D n: Ci to, nng cp ng tnh 295 (on Vi - Bn
Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
a im: Huyn Lng Giang, tnh Bc Giang. tham gia nghim thu cng vic
ni trn.
TM NH THU
CH NHIM KHO ST A HNH

L Trung Kin
 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 25 thng
06 nm 2016

BIN BN S: 06/NT-CVXD
NGHIM THU CNG VIC XY DNG

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st a hnh.
a im : Km25+575,34; T 295, tnh Bc Giang.
1. i tng nghim : Kho st tuyn trnh.
L trnh: Km25+575,34
2. Thnh phn trc tip nghim thu
a/ i din: Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang.
- ng: Nguyn Vit Bch Chc v: Cn b Ban QLDA
b/ i din nh thu: Cng ty c phn T vn u t v xy dng Quc t.
- ng: L Tin Dng Chc v: Cn b KH-KT
3. Thi gian v a im nghim thu
- Bt u : 14h00 , Ngy 25 thng 06 nm 2016
- Kt thc : 14h30 , Ngy 25 thng 06 nm 2016
- Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4. Cn c nghim thu
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang;
Bin bn nghim thu ni b s: 06/BBNT;
Phiu yu cu nghim thu s: 06/YCNT;
H s kho st do Cng ty CP t vn u t v xy dng Quc t lp;
Nht k kho st, nht k gim st.
5. nh gi v khi lng v cht lng cng vic thc hin:
- Cht lng: m bo cht lng.
- Khi lng: C ph lc chi tit km theo.
6. Kt lun nghim thu: ng nghim thu, cho trin khai cc cng
vic tip theo.

I DIN CH U T I DIN NH THU

Nguyn Vit Bch L Tin Dng

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 18 thng 06 nm
2016

Bin bn S: 07/BBNT
Bin bn nghim thu ni b cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st nn mt ng, CCT, m vt liu.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.
1. i tng nghim thu: Kho st nn mt ng
L trnh: Km17+232 -:- Km28+550
2.Thnh phn trc tip nghim thu
a- i din cng ty: Phng k hoch k thut
ng: L Tin Dng Chc v: Cn b KH-KT
b- i din i kho st:
ng: L Hip Vn Chc v: Ch nhim kho st a cht
3.Thi gian nghim thu
Bt u : 10h30 , Ngy 18 thng 06 nm 2016
Kt thc :11h30 , Ngy 18 thng 06 nm 2016
Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4.nh gi cng vic xy dng thc hin
a- V ti liu lm cn c nghim thu
Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l
cht lng v bo tr cng trnh Xy dng.
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
 Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang.
Kt qu kim tra thc t hin trng.
Nht k kho st.
Quy trnh, quy phm thi cng v nghim thu.
b- V cht lng, khi lng cng vic
Cht lng cng vic: t yu cu k thut.
Khi lng c th nh sau:

n v Khi lng
TT Ni dung cng vic Ghi ch
tnh thc hin
(1) (2) (3) (4) (5)
1 Kho st nn mt ng, CCT, m VL
a Kho st nn mt ng
o khng chng su t 0-2m, t cp 1-3 m3 2,75
Th nghim 9 ch tiu c l ca mu nguyn
Mu 5,00
dng
Th nghim 7 ch tiu c l ca mu ph hy Mu 6,00
Th nghim m nn tiu chun Mu 11,00
Th nghim CBR trong phng Mu 11,00
c- Cc kin khc : Khng
5.Kt lun: Thng nht nghim thu khi lng cng vic trn.

PHNG K HOCH K THUT I DIN I KHO ST

L Tin Dng L Hip Vn

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 18 thng 06 nm
2016
.
Phiu yu cu nghim thu
S: 07/YCNT
Nghim thu cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st nn mt ng, CCT, m vt liu.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.

Knh gi: Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang
Cn c hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban
QLDA TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty
CP t vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng
Quc t V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh
295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
Nh thu chng ti t chc tin hnh o h o khng chng vi chiu su 1m.
Chng ti, Cng ty CP t vn u t v xy dng Quc t cam kt kim tra s ph hp
v cht lng cng vic ni trn l m bo yu cu k thut theo ng hp ng k,
cng v Phng n k thut kho st c ph duyt. Cc cng vic ni trn c
thc hin ng theo cc quy nh ca Lut Xy dng s 50/2014/QH13 ngy 18/6/2014 v
xy dng, Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v
Qun l cht lng v bo tr cng trnh Xy dng.
Chng ti ngh Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang.
ng vo lc: 14h00 , Ngy 19 thng 06 nm 2016.
C mt ti hin trng D n: Ci to, nng cp ng tnh 295 (on Vi - Bn
Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
a im: Huyn Lng Giang, tnh Bc Giang. tham gia nghim thu cng vic
ni trn.
TM NH THU
CH NHIM KHO ST A CHT

L Hip Vn
 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 19 thng 06
nm 2016

BIN BN S: 07/NT-CVXD
NGHIM THU CNG VIC XY DNG

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st nn mt ng, CCT, m vt liu.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.
1. i tng nghim : Kho st nn mt ng.
L trnh: Km17+232 -:- Km28+550
2. Thnh phn trc tip nghim thu
a/ i din: Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang.
- ng: Nguyn Vit Bch Chc v: Cn b Ban QLDA
b/ i din nh thu: Cng ty c phn T vn u t v xy dng Quc t.
- ng: L Tin Dng Chc v: Cn b KH-KT
3. Thi gian v a im nghim thu
- Bt u : 14h00 , Ngy 19 thng 06 nm 2016
- Kt thc : 14h30 , Ngy 19 thng 06 nm 2016
- Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4. Cn c nghim thu
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang;
Bin bn nghim thu ni b s: 07/BBNT;
Phiu yu cu nghim thu s: 07/YCNT;
H s kho st do Cng ty CP t vn u t v xy dng Quc t lp;
Nht k kho st, nht k gim st.
5. nh gi v khi lng v cht lng cng vic thc hin:
- Cht lng: m bo cht lng.
- Khi lng: c th nh sau:
n v Khi lng Khi lng Ghi
TT Ni dung cng vic
tnh thc hin nghim thu ch
(1) (2) (3) (4) (5) (6)
Kho st nn mt ng,
1
CCT, m VL
a Kho st nn mt ng
o khng chng su t 0-2m,
m3 2,75 2,75
t cp 1-3
Th nghim 9 ch tiu c l ca mu
Mu 5,00 5,00
nguyn dng
Th nghim 7 ch tiu c l ca mu Mu 6,00 6,00
ph hy
Th nghim m nn tiu chun Mu 11,00 11,00
Th nghim CBR trong phng Mu 11,00 11,00

6. Kt lun nghim thu: ng nghim thu, cho trin khai cc cng

vic tip theo.

I DIN CH U T I DIN NH THU

Nguyn Vit Bch L Tin Dng

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 20 thng 06 nm 2016

Bin bn S: 08/BBNT
Bin bn nghim thu ni b cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st nn mt ng, CCT, m vt liu.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.
1. i tng nghim thu: Kho st nn ng thng thng.
L trnh: Km17+232 -:- Km28+550
2.Thnh phn trc tip nghim thu
a- i din cng ty: Phng k hoch k thut
ng: L Tin Dng Chc v: Cn b KH-KT
b- i din i kho st:
ng: L Hip Vn Chc v: Ch nhim kho st a cht
3.Thi gian nghim thu
Bt u : 10h30, Ngy 20 thng 06 nm 2016
Kt thc:11h30, Ngy 20 thng 06 nm 2016
Ti cng trnh: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on
Ngc Chu - th trn Thng), tnh Bc Giang.
4.nh gi cng vic xy dng thc hin
a- V ti liu lm cn c nghim thu
Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l
cht lng v bo tr cng trnh Xy dng.
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang.
 Kt qu kim tra thc t hin trng.
Nht k kho st.
Quy trnh, quy phm thi cng v nghim thu.
b- V cht lng, khi lng cng vic:
Cht lng cng vic: t yu cu k thut.
Khi lng c th nh sau:
n Khi lng
TT Ni dung cng vic Ghi ch
v tnh thc hin
(1) (2) (3) (4) (5)
1 Kho st nn ng thng thng
Khoan xoay bm ra bng ng mu trn
m 42,00
cn, su 0-30m, t cp 1-3
Th nghim 9 ch tiu c l ca mu
mu 12,00
nguyn dng
Th nghim 7 ch tiu c l ca mu ph
mu 4,00
hy
Th nghim nn c kt Cv mu 3,00
Th nghim mu 3 trc s CU mu 1,00
Th nghim mu 3 trc s UU mu mu
c- Cc kin khc : Khng
5.Kt lun: Thng nht nghim thu khi lng cng vic trn.

PHNG K HOCH K THUT I DIN I KHO ST

L Tin Dng L Hip Vn

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 20 thng 06 nm
2016
.
Phiu yu cu nghim thu
S: 08/YCNT
Nghim thu cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st nn mt ng, CCT, m vt liu.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.

Knh gi: Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang
Cn c hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban
QLDA TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty
CP t vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng
Quc t V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh
295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
Nh thu chng ti t chc khoan kho st a cht nn ng thng thng ca
tuyn. Chng ti, Cng ty CP t vn u t v xy dng Quc t cam kt kim tra s
ph hp v cht lng cng vic ni trn l m bo yu cu k thut theo ng hp ng
k, cng v Phng n k thut kho st c ph duyt. Cc cng vic ni trn
c thc hin ng theo cc quy nh ca Lut Xy dng s 50/2014/QH13 ngy
18/6/2014 v xy dng, Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca
Chnh ph v Qun l cht lng v bo tr cng trnh Xy dng.
Chng ti ngh Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang.
ng vo lc: 14h00 , Ngy 21 thng 06 nm 2016.
C mt ti hin trng D n: Ci to, nng cp ng tnh 295 (on Vi - Bn
Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
a im: Huyn Lng Giang, tnh Bc Giang. tham gia nghim thu cng vic
ni trn.
TM NH THU
CH NHIM KHO ST A CHT

L Hip Vn
 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 21 thng
06 nm 2016

BIN BN S: 08/NT-CVXD
NGHIM THU CNG VIC XY DNG

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st nn mt ng, CCT, m vt liu.
a im : Km17+232 -:- Km28+550; T 295, tnh Bc Giang.
1. i tng nghim : Kho st nn ng thng thng
L trnh: Km17+232 -:- Km28+550
2. Thnh phn trc tip nghim thu
a/ i din: Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang.
- ng: Nguyn Vit Bch Chc v: Cn b Ban QLDA
b/ i din nh thu: Cng ty c phn T vn u t v xy dng Quc t.
- ng: L Tin Dng Chc v: Cn b KH-KT
3. Thi gian v a im nghim thu
- Bt u : 14h00 , Ngy 21 thng 06 nm 2016
- Kt thc : 14h30 , Ngy 21 thng 06 nm 2016
- Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4. Cn c nghim thu
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc
Giang;
Bin bn nghim thu ni b s: 08/BBNT;
Phiu yu cu nghim thu s: 08/YCNT;
H s kho st do Cng ty CP t vn u t v xy dng Quc t lp;
 Nht k kho st, nht k gim st.
5. nh gi v khi lng v cht lng cng vic thc hin:
- Cht lng: m bo cht lng.
- Khi lng: c th nh sau
n
Khi lng Khi lng
TT Ni dung cng vic v Ghi ch
thc hin nghim thu
tnh
(1) (2) (3) (4) (4) (5)
Kho st nn ng thng
1
thng
Khoan xoay bm ra bng ng
mu trn cn, su 0-30m, t m 42,00 42,00
cp 1-3
Th nghim 9 ch tiu c l ca
mu 12,00 12,00
mu nguyn dng
Th nghim 7 ch tiu c l ca
mu 4,00 4,00
mu ph hy
6. Kt lun nghim thu: ng nghim thu, cho trin khai cc cng
vic tip theo.

I DIN CH U T I DIN NH THU

Nguyn Vit Bch L Tin Dng

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 23 thng 06 nm
2016

Bin bn S: 09/BBNT
Bin bn nghim thu ni b cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang
Hng mc : Kho st nn mt ng, CCT, m vt liu
a im : Km25+575,34; T 295, tnh Bc Giang
1. i tng nghim thu: Kho st cu trung, cu nh.
L trnh: Km25+575,34
2.Thnh phn trc tip nghim thu
a- i din cng ty: Phng k hoch k thut
ng: L Tin Dng Chc v: Cn b KH-KT
b- i din i kho st:
ng: L Hip Vn Chc v: Ch nhim kho st a cht
3.Thi gian nghim thu:
Bt u : 10h30 , Ngy 23 thng 06 nm 2016
Kt thc:11h30, Ngy 23 thng 06 nm 2016
Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4.nh gi cng vic xy dng thc hin
a- V ti liu lm cn c nghim thu
Ngh nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l
cht lng v bo tr cng trnh Xy dng.
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
 Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang.
Kt qu kim tra thc t hin trng.
Nht k kho st.
Quy trnh, quy phm thi cng v nghim thu.
b- V cht lng, khi lng cng vic:
Cht lng cng vic: t yu cu.
Khi lng c th nh sau:
n Khi lng
TT Ni dung cng vic Ghi ch
v tnh thc hin
(1) (2) (3) (4) (5)
1 Kho st cu trung, cu nh
Khoan xoay bm ra bng ng mu trn
m 16,00
cn, su 0-30m, t cp 1-3
Khoan xoay bm ra bng ng mu trn
m 4,00
cn, su 0-30m, t cp 4-6
Th nghim xuyn tiu chun SPT, t
mu 8,00
cp 1-3
Th nghim xuyn tiu chun SPT, t
mu 2,00
cp 4-6
Th nghim 9 ch tiu c l ca mu
mu 3,00
nguyn dng
Th nghim 7 ch tiu c l ca mu ph
mu 1,00
hy
Th nghim c l mu mu 2,00
c- Cc kin khc : Khng
5.Kt lun: Thng nht nghim thu khi lng cng vic trn.

PHNG K HOCH K THUT I DIN I KHO ST

L Tin Dng L Hip Vn

 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 23 thng 06 nm
2016
.
Phiu yu cu nghim thu
S: 09/YCNT
Nghim thu cng vic

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang
Hng mc : Kho st nn mt ng, CCT, m vt liu
a im : Km25+575,34; T 295, tnh Bc Giang

Knh gi: Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang
Cn c hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban
QLDA TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty
CP t vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng
Quc t V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh
295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
Nh thu chng ti t chc khoan kho st a cht cu G. Chng ti, Cng ty
CP t vn u t v xy dng Quc t cam kt kim tra s ph hp v cht lng cng
vic ni trn l m bo yu cu k thut theo ng hp ng k, cng v Phng
n k thut kho st c ph duyt. Cc cng vic ni trn c thc hin ng
theo cc quy nh ca Lut Xy dng s 50/2014/QH13 ngy 18/6/2014 v xy dng, Ngh
nh s 46/2015/N-CP ngy 12 thng 05 nm 2015 ca Chnh ph v Qun l cht lng
v bo tr cng trnh Xy dng.
Chng ti ngh Ban QLDA TXD cc cng trnh Giao thng tnh Bc Giang.
ng vo lc: 14h00 , Ngy 24 thng 06 nm 2016
C mt ti hin trng D n: Ci to, nng cp ng tnh 295 (on Vi - Bn
Tun v on Ngc Chu - th trn Thng), tnh Bc Giang.
a im: Huyn Lng Giang, tnh Bc Giang. tham gia nghim thu cng vic
ni trn.
TM NH THU
CH NHIM KHO ST A CHT

L Hip Vn
 Cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
--------------------
Bc Giang, Ngy 24 thng
06 nm 2016

BIN BN S: 09/NT-CVXD
NGHIM THU CNG VIC XY DNG

D n : Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on

Ngc Chu - th trn Thng), tnh Bc Giang.
Hng mc : Kho st nn mt ng, CCT, m vt liu.
a im : Km25+575,34; T 295, tnh Bc Giang.
1. i tng nghim : Kho st cu trung, cu nh
L trnh: Km25+575,34
2. Thnh phn trc tip nghim thu
a/ i din: Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang.
- ng: Nguyn Vit Bch Chc v: Cn b Ban QLDA
b/ i din nh thu: Cng ty c phn T vn u t v xy dng Quc t.
- ng: L Tin Dng Chc v: Cn b KH-KT
3. Thi gian v a im nghim thu
- Bt u : 14h00 , Ngy 24 thng 06 nm 2016
- Kt thc : 14h30 , Ngy 24 thng 06 nm 2016
- Ti D n: Ci to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc
Chu - th trn Thng), tnh Bc Giang.
4. Cn c nghim thu
Nhim v kho st, thit k c duyt ti quyt nh s 20/Q-BQLDA ngy
21/3/2016 ca Gim c Ban QLDA TXD cc cng trnh giao thng tnh Bc Giang;
Hp ng s 01/T295/2016/H/TKBVTC-DT ngy 20/5/2016 gia Ban QLDA
TXD cc cng trnh giao thng tnh Bc Giang vi Lin danh Nh thu Cng ty CP t
vn xy dng cng trnh giao thng 2 v Cng ty CP t vn u t v xy dng Quc t
V/v T vn kho st, thit k BVTC-DT Cng trnh: Ci to, nng cp ng tnh 295
(on Vi - Bn Tun v on Ngc Chu - th trn Thng), tnh Bc Giang;
H s trng thu gi thu s 01: T vn kho st, thit k BVTC-DT Cng trnh: Ci
to, nng cp ng tnh 295 (on Vi - Bn Tun v on Ngc Chu - th trn Thng),
tnh Bc Giang;
Phng n k thut kho st c ph duyt ti Quyt nh s 62/Q-BQLDA
ngy 23/5/2016 ca Gim c Ban QLDA TXD cc CTGT tnh Bc Giang;
Bin bn nghim thu ni b s: 09/BBNT;
Phiu yu cu nghim thu s: 09/YCNT;
H s kho st do Cng ty CP t vn u t v xy dng Quc t lp;
Nht k kho st, nht k gim st.
5. nh gi v khi lng v cht lng cng vic thc hin:
- Cht lng: m bo cht lng.
- Khi lng: c th nh sau
n
Khi lng Khi lng
TT Ni dung cng vic v Ghi ch
thc hin nghim thu
tnh
(1) (2) (3) (4) (5) (6)
1 Kho st cu trung, cu nh
Khoan xoay bm ra bng ng
mu trn cn, su 0-30m, t m 16,00 16,00
cp 1-3
Khoan xoay bm ra bng ng
mu trn cn, su 0-30m, t m 4,00 4,00
cp 4-6
Th nghim xuyn tiu chun
mu 8,00 8,00
SPT, t cp 1-3
Th nghim xuyn tiu chun
mu 2,00 2,00
SPT, t cp 4-6
Th nghim 9 ch tiu c l ca
mu 3,00 3,00
mu nguyn dng
Th nghim 7 ch tiu c l ca
mu 1,00 1,00
mu ph hy
Th nghim c l mu mu 2,00 2,00

6. Kt lun nghim thu: ng nghim thu, cho trin khai cc cng

vic tip theo.

I DIN CH U T I DIN NH THU

Nguyn Vit Bch L Tin Dng