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ANTREPRENOR _______________________________________________________________________ 

INVESTITIA _______________________________________________________________________ 

AMPLASAMENT _______________________________________________________________________ 

PROCES VERBAL DE RECEPTIE CALITATIVA

   NR. _______ DATA _____________ 

Cu ocazia verificarii efectuate la : ______________________________________________________ 

 ___________________________________________________________________________________

 ___________________________________________________________________________________

 ___________________________________________________________________________________

 __________________________________________________ 

Au stat la baza verificarilor urmatoarele documente:___________________________________________ 

 ________________________________________________________________________________ ________________________________________________________________________________

 ___________________________________________________________________________ 

Din verificarile efectuate pe teren si examinarea documentelor au rezultat urmatoarele:________________ 

 ________________________________________________________________________________

 ________________________________________________________________________________

 ___________________________________________________________________________ 

Au fost stabilite urmatoarele masuri (concluzii): ________________________________ 

 ________________________________________________________________________________

 ________________________________________________________________________________

 _________________________________________________________________ 

Mentiuni speciale : ______________________________________________________________________ 

 ________________________________________________________________________________

 ________________________________________________________________________________

 _________________________________________________________________________ 

 Numele Prenumele Semnatura

BENEFICIAR: ____________ ________________ _______________ 

PROIECTANT: _____________ ________________ ________________ 

EXECUTANT: _____________ ________________ _________________ 

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