UNITATEA ___________________________

LUCRAREA___________________________

PROCES –VERBAL PENTRU PROBA DE FUNCTIONARE A INSTALATIEI

Privind lucrarea :_________________________________________________________

Executata in cadrul contractului nr._________________din________________________

Au stat la baza verificarilor urmatoarele documente :_____________________________

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In urma probei de functionare s-au constatat urmatoarele :- ( ne ) incadrarea in valorile prevazute in proiect ;- ( ne ) functionarea in parametri normali ai elementelor instalatiei. Observatii__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________In concluzie , se constata ca sunt ( nu sunt ) asigurate conditiile corespunzatoare pentru efectuarea receptiei instalatiei.

Numele Prenumele SemnaturaBENEFICIAR_________________________________________________________

EXECUTANT_________________________________________________________