7/23/2019 FORMATO - MARGARITAS.docx

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FORMATO CDIGO

CORPORACIN VERSIN

PLEYADES SAC CHARLA DIARIA DE 5 REVISIN

MIN. DE SEGURIDAD FECHA

HORA

Obra / Proyecto: CONSTRUCCION DE LA PAVIMENTACION DE CALLES DEL PROGRAMA DE

VIVIENDA LAS MARGARITAS, DISTRITO DE CARABAYLLOLIMALIMA! T"r#o:$$$$$$$Re%&o#%ab'e (e c)ar'a: $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

*ec)a: $$$$$$$$$$$$$$$$$$ +ora I#co: $$$$$$$$$$$$$$$ +ora *#a': $$$$$$$$$$$$$$$$$$$$$$$$Te-a: $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

PARTICIPANTES

N. APELLIDOS Y NOMBRES DNI CARGO FIRMA

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