UNITATEA : SC _______________ SRL

SANTIER: ___________________
OBIECTUL: ______________________________________________________________________________________

PROCES-VERBAL DE VERIFlCARE A CALITĂŢII

LUCRĂRILOR CE DEVIN ASCUNSE

Nr. _____ Data_____________

Faza din lucrare supusă verificării:

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Elementele de identificare (sector, porţiune, ax, cotă, etc.):

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Verificările s-au făcut pe baza prevederilor proiectului nr. ___________, planşele nr. ________________ sau a
dispoziţiei de şantier nr.______________ din data de ____________
Constatări:
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_____________________________________________________________________________________________
_____________________________________________________________________________________________
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Concluzii:_____________________________________________________________________________________
_____________________________________________________________________________________________
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Numele Prenumele Semnătura

CONSTRUCTOR: ________________ _______________ _____________

BENEFICIAR: ING. CURTEANU IOAN _____________

DIRIGINTE DE SANTIER

RTE: ING. ANTAL PETRU _____________

PROIECTANT: DR. ING. COJOCARU DRAGO Ș ______________