UNITATEA ______________________________________________________________________________

ANTIER ____________________________________ PUNCT DE LUCRU ____________________________

OBIECTUL_______________________________________________________________________________

TRONSONUL_____________________ TRAVEEA ____________________ NIVELUL__________________

PROCES-VERBAL DE VERIFICARE A ASPECTULUI BETONULUI DUP DECOFRARE I POZIIONARE GOLURI TEHNOLOGICE I DE INSTALAIE

Nr._____ Data_____________

S-au verificat urmtoarele elemente de beton: __________________________________________________________________________________________

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Cuprins ntre orele ______________________ turnat pe data____________________________

Aspectul betoanelor dup decofrare : _________________________________________________________________________________________

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Existena i poziia golurilor verificate dup planele nr. ________________________________

Se vor lua urmtoarele msuri la termenele nscrise mai jos _______________________________________________________________________________________________________________

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Numele Prenumele Semntura

CONSTRUCTOR: _________ ____________ ___________________________ _____________

BENEFICIAR: _________ ____________ ___________________________ _____________

INSTALATOR: _________ ____________ ___________________________ _____________

Remedierea defectelor constatate s-a fcut pe baza soluiei date de: _________ __________________ ______________________________________________________________ prin _______________________________________________________________________________________ Se confirm executarea corespunztoare (de calitate) a remedierilor.

Data ______________

Numele Prenumele Semntura

CONSTRUCTOR: _________ ____________ ___________________________ _____________ BENEFICIAR _________ ____________ ___________________________ _____________