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UNITATEA___________________________________________________________________

SANTIER____________________________________________________________________
PUNCT DE LUCRU ___________________________________________________________
OBIECTUL____________________________________________________________________

PROCES VERBAL DE CONSTATARE/NOTA DE CONSTATARE


Nr.___________ Data____________

Cu ocazia verificarii efectuate la:


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Au stat la baza verificarilor urmatoarele documente:


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Din verificarile efectuate pe teren si examinarea documentelor s-au constatat urmatoarele:


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Au fost stabilite urmatoarele masuri (concluzii):


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Mentiuni speciale:
CONSTRUCTOR: BENEFICIAR PROIECTANT:
/DIRIGINTE DESANTIER:
Numele: ____________ ____________ ____________
Prenumele: ____________ ____________ ____________
Semnatura: ____________ ____________ ____________

RTE RESTAURATOR

Numele: ____________ ____________


Prenumele: ____________ ____________
Semnatura: ____________ ____________

BIOLOG

Numele: ____________ ____________


Prenumele: ____________ ____________
Semnatura: ____________ ____________

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