NGHIỆM THU vật LIỆU đưa vào sử DỤNG

................................................ Ban qlda ®Çu t vµ x©y dùng *********** Céng hoµ x· héi chñ nghÜa viÖt nam §éc lËp - Tù do - H¹nh phóc ----------o0o---------- ................................................, ngµy …… th¸ng ……. n¨m 20….. Biªn b¶n sè: ………/vl-…….-SS2 NghiÖm thu vËt liÖu ®a vµo sö dông C«ng tr×nh: ................................................ Gãi thÇu: …………………………………..…...…………..….…………………………….. H¹ng môc: …………………………………..…...………………………………………….. §Þa ®iÓm x©y dùng: X· …………………………..…., 1- §èi tîng nghiÖm thu:..................................................................................................... ....................................................................................................................................................... 2- Thµnh phÇn trùc tiÕp nghiÖm thu: 2.1- §¹i diÖn TVGS: C.ty ................................................ - ¤ng: ……………………….…. - Chøc vô: TVGS trùc tiÕp. 2.2- §¹i diÖn Nhµ thÇu thi c«ng: ……………………………………..……………..... - ¤ng: ……………………….…. - Chøc vô: ……………………….…… - ¤ng: ……………………….…. - Chøc vô: ……………………….…… 3- Thêi gian nghiÖm thu: - B¾t ®Çu:..................ngµy.........th¸ng...........n¨m 20….. - KÕt thóc:.................ngµy.........th¸ng...........n¨m 20….. 4- Néi dung nghiÖm thu: 4.1- VÒ tµi liÖu lµm c¨n cø nghiÖm thu: - Hå s¬ thiÕt kÕ b¶n vÏ thi c«ng ®îc Chñ ®Çu t phª duyÖt vµ nh÷ng thay ®æi thiÕt kÕ ®· ®îc chÊp thuËn; - Quy chuÈn, tiªu chuÈn x©y dùng ®îc ¸p dông: ............................................... ....................................................................................................................................................... - Tµi liÖu chØ dÉn kü thuËt kÌm theo Hîp ®ång x©y dùng sè: ……./……….., ngµy ……./……/20……; - C¸c lo¹i chøng chØ xuÊt xëng vµ kÕt qu¶ thÝ nghiÖm vËt liÖu. 4.2- NhËn xÐt vÒ chÊt lîng, khèi lîng: - ChÊt lîng vËt liÖu: .................................................................................................. ....................................................................................................................................................... ....................................................................................................................................................... ....................................................................................................................................................... - Sè lîng vËt liÖu: ...................................................................................................... ....................................................................................................................................................... ....................................................................................................................................................... ....................................................................................................................................................... 5- KÕt luËn: .............................................................................................................................. ....................................................................................................................................................... ....................................................................................................................................................... ....................................................................................................................................................... T vÊn gi¸m s¸t TVGS trùc tiÕp Nhµ thÇu thi c«ng Kü thuËt thi c«ng  ... T vÊn gi¸m s¸t TVGS trùc tiÕp Nhµ thÇu thi c«ng Kü thu t thi c«ng