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Subsemnatul (numele, prenumele) & & & & & & & & & & & & & & & & & & ..., reprezentant mputernicit al Delgaz Grid SA, n prezenca beneficiarului (numele, prenumele) & & & & & & & & & & & .& & & & ..am realizat urmtoarele operacii la adresa de mai sus (se bifeaz activitcile efectuate) : a) montarea contorului de gaze naturale; msurarea consumului se face prin intermediul unui contor de tip & & & & ..& cu debit nominal& & .m/h, marca& & & & & & ..seria& & & ..& .indexul& & & ..m. b) verificarea etan_eitcilor la racordurile olandeze/flan_ele contorului de gaze naturale; c) sigilarea racordurilor olandeze/fla_elor contorului de gaze naturale; d) verificarea existencei dopurilor la capetele conductelor IU la care nu sunt legate aparate consumatoare de combustibili gazo_i e) verificarea existencei unui document emis de un furnizor de gaze naturale; licenciat de ANRE, din care s reias existenca unui contract de furnizare pentru adresa de mai sus, ncheiat cu beneficiarul; f) instruirea beneficiarului privind exploatarea corect a instalaciei de gaze naturale; g) predarea ctre beneficiar a unui exemplar din instrucciunile pentru utilizarea gazelor naturale. 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Nr. crt. Tipul aparatului consumator pus n funcciune Debit instalat (conform specificaciilor productoruluiNr . aparateDebit total m3/hAchizicionat de ctreFurnizor (denumirea operatorului economic de la care s-a achizicionat)Certificatul de calitate /Declaracia de conformitate nr...din data de.. Responsabil tehnic cu execuciaBeneficiar:& & & & & & & & & ..& ...Nume, prenume& & & & & & & & & & .& ..Nume, prenume& & & & & & & & .& ..Legitimacia ANRE nr& & & & & gradul& & & valabil pna la data de& & ..Semntura& & & & & & & & & & & ..Semntura& & & & & & & & .. Procesul-verbal s-a ncheiat n & & & & exemplare din care fiecare semnatar a recinut cte un exemplar.     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