Bm.03.04 - Bien Ban Nghiem Thu Sau Sua Chua

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M· sè TỔNG CÔNG TY LILAMA VIỆT NAM CÔNG TY CỔ PHẦN LILAMA 3

BM:03.04

LÇn ban hµnh Ngµy ban hµnh

01 15/9/2008

Biªn b¶n nghiÖm thu söa ch÷a C¨n cø lÖnh söa ch÷a Sè:........./QLCG ngµy......th¸ng......n¨m … Cña Tæng gi¸m ®èc c«ng ty. T¹i: ............................................................................Chóng t«i gåm cã : 1/ ¤ng:.........................................................C¸n bé chuyªn qu¶n. 2/ ¤ng:.........................................................§¹i diÖn ®¬n vÞ söa ch÷a. 3/ ¤ng:.........................................................§¬n vÞ sö dông: ………………………............... 4/ ¤ng:.........................................................§¹i diÖn………………….... ……....................... 5/ ¤ng:.........................................................Ngêi trùc tiÕp vËn hµnh. I/ Tªn m¸y:…….……………………….........KiÓu........................Sè m¸y:............................. Níc s¶n xuÊt:............................................N¨m s¶n xuÊt: ….............................................. II/ Néi dung nghiÖm thu: 1/ C«ng viÖc ®· thùc hiÖn: .............................................................................................................................. .............................................................................................................................. .................................... 2/ Phô tïng ®· thay thÕ: .............................................................................................................................. .............................................................................................................................. .................................... .3/ Nh©n c«ng: Thêi gian söa ch÷a: B¾t ®Çu:.........giê ngµy.........th¸ng........n¨m ………… KÕt thóc:........giê ngµy.........th¸ng........n¨m ………… .............................................................................................................................. ............... 4/ §¸nh gi¸ chÊt lîng söa ch÷a: .............................................................................................................................. .............................................................................................................................. .............................. 5/ KÕt luËn: .............................................................................................................................. ............... .............................................................................................................................. ............... Biªn b¶n ®îc mäi ngêi th«ng qua nhÊt trÝ ký tªn. Thî vËn hµnh

§¬n vÞ sö dông

®¬n vÞ söa ch÷a

1

phßng QLcG

Tæng Gi¸m ®èc

2

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