" ' - " ? - " CQNG HOA XA HOI CHU NGHIA VI]!: T NAM

D()c l~p - Ttf do - H~nh phuc

~*~ · -------- --------

Tp. H6 Chi Minh, ngizy .J2- thdngA!l.. nam 201 7

BIEN BAN SO: 01/NTGD

NGHJtM THU HOAN THANH GIAI DO~N THI CONG XA Y DTjNG MONG CONG TRINH

Cong trinh: CHUNG Clf BAO MINH EZLAND H;;mg m\}c: MONG CONG TRINH

Dia di~m xay dvng: Khu dan CU' Phll'img Phti Hfru, Qu~n 9, Tp. Hfi Chi Minh

1. D6i ttrgng nghi~m thu: KET cAu NGAM (MONG CONG TRiNH) 2. Thanh ph§n trtfc tie'p nghi~m thu:

a/ Chu d§u tu': CONG TY TNHH AHC BAO MINH Ba : Lieu Thi Phu'<;jng Chuc V\l: Giam a6c Ong/ Bi : . . . . . . . . . . . . . . . . . . . . . . . . . . . Chuc vv : . ... .. ... . ...... . .. . ... .

' , " • ,..? ~

b/ Nha thau TU' van Quan ly d\f an va Giam sat thi cong xay dtfng : CONG TY CO PHAN KIEM DlNH XAY Dl}NG sA.r GON (SCQC)

Ong : Nguy~n Bao Qu6c Thu~n Chuc Vl,l : Giam a6c XN SCQC_1 Ong: Huynh Cong Cu'ong Chuc vv : Tru'dng tu' van giam sat

c/ Don vt thi cong: CONG TY CO PIIAN xA Y DlfNG SOl (COFICO) Ong : Nguy~n Hfru Chuc vv : Giam a6c di~u hanh Ong : Le Van Tri Chuc vv : Chi huy tru'C1ng

3. ThO'i gian nghi~m thu : · B~t d~u : 09h00 ngay .d.~ .. thang .1-4. nam 2017 Ke'tthuc: llhOOngay . A~ thang .1.2: nam2017 T<;1i : Chung cu Bao Minh EZLAND

4. Danh gia giai do~n thi cong xay dtfng da thtfc hi~n: 4.1 Tai lit$u lam can eli nghit$m thu. a) Phie'u yeu du nghit$m giai do<;1n thi cong xay difng cua nha th~u thi cong xay difng :

S6: 01/ PYCNTGD ngay . . . . . .. thang .... · . .. nam 2017.

'· .

b) H6 so thie't ke' ban ve thi cong du'yc chu d~u tu' phe duyt$t va nhung thay d6i thie't k;e' eta d11<;1c

chap thu~n : (Thea danh sdch dinh kern hb so· quc.1 Ly chat luc;ng)

c) Quy chu~n. tieu chu~n xay dung du'oc ap dung: Stt So hit$u tieu chuan, quy chuan Ten tieu chuan, quy chuan

a. Tieu chuin v~ v~t li~u 1 TCVN 7570:2006 Cot li~u cho betong va vfra. Yeu cauk)' thu~t 2 TCVN 7572:2006 (1 ~ 20) c6t Mu cho betong va vfra. Phuong phap thu

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....) -

3 TCVN 2682:2009 Ximang P6oc lang. Yeu cau ky thu~t 4 TCVN 4506:2012 Nu6c tr(>n betong va vfra. Yeu cau ky thu~t 5 TCVN 9340:2012 H6p hqp betong tr(>n s~n. Yeu cau co bim danh gia

chat lu<;mg va nghi~m thu. 6 TCVN 8826:2011 Phv gia h6a h9c cho betong 7 TCVN 1651 :2008 Thep c6t be tong

8 TCVN 3105:1993 H6n hqp be tong n~ng va be tong n~ng - Lay m&u, ch~ t~o va biw du5ng m&u thu.

9 TCVN 3106:1993 H6n hqp be tong n~ng - Phuong phap thu d(> svt b. Tieu chuan ve thi cong nghi~m thu:

1 TCVN 9398:2012 Cong tic tr~c dia trong xay dl,ffig cong trinh - Yeu d.u chung.

2 TCVN 9394:2012 Dong va ep C9C - Thi cong va nghi~m thu. 3 TCVN 7888-2014 C9c be tam ly tam lm.g su~t tru6c

4 TCVN 9397: 2012 C9c. Phuong phap thi nghi~m d(>ng bien d~ng nho (PIT)

5 TCXDVN 305:2004 Be tong khoi 16n- Quy ph~m thi cong & nghi~m thu ..

6 TCVN 4453:1995 Ket cau be tong va be tong cot thep toan khoi - Quy ph~m thi cong va nghi~m thu.

7 TCVN 4447:2012 Cong tac dat - Thi cong va nghi~m thu. 8 TCVN 9361:2012 Cong tac n~n m6ng - Thi cong va nghi~m thu.

9 TCXDVN 170:1989 Ket cau thep. Gia cong, lap rap va nghi~m thu. Yeu du ky thu~t

10 TCVN 8828:2011 Yeu du ba.o du5ng ~m tv nhien.

d) Tai li~u chi d§:n ky thu~t kern theo h<;1p d6ng xay dlfng : c6 0 khong o

d) H6 so thftu va h<;1p d6ng xay dlfng: c6 0 khong o

e) Bien ban nghi~m thu v~t li~u tnroc khi du'a vao sll' dl;lng : (Thea danh m¥-c dinh kem h6 s(f

qudn ly ch{it lut;Jng)

f) Bien ban nghi~m thu cac cong vi~c thu(>c giai doq.n thi cong xay dlfng du'QC nghi~m thu : .

(Thea danh m¥-c dinh kem h6 s(f qudn ly chtit lut;Jng)

g) Cac ke't qua ki~m tra, thi nghi~m cha"t lu'<;1ng ·v~t li~u, thie't bi du'<;1c thlfc hi~n trong qua trinh

xay dlfng: (Thea danh m¥-C dinh kem h6 s(f qudn ly ch{{t lut;Jng)

h) Ban ve hoan cong giai doq.n xay dlfng (Danh m¥-C bdn ve haem c6ng dinh kem h6 S(/ qudn ly

chat lut;Jng)

i) Nh~t ky thi cong, bien ban h9p dinh ky cong trlnh cua chu dftu tu' va cac van ban khac c6 lien

quan de'n d6i tu'<;1ng nghi~m thu : c6 0 khong o

j) Bien ban nghi~m thu giai doq.n thi cong xay d\fng hoan thanh cua n(>i b(> nha thftu thi cong

xay dlfng:

S6: 011 NTNBGD ngay ..... thang ...... nam 2017

k) Cong tac chu£n. bi cac cong vi~c- d~ tri~n khai giai dO<;lll thi cong xay dlfng tie'p theo : Thi

cong ke't ca"u ph~n than.

4.2 V~ cha"t 1u'Qng xay d\fng giai dO<;lll thi cong xay d\fng: - So voi thie't ke' : D~t yeu c~u

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-So voi tieu chuffn xay dlfng : D~t yeu du - Sovoi yeu du ky thu~t cua cong trlnh xay dlfng: D~t yeu du

N(>i dung ky thu~t dn kiSm tra dS c6 co sC5 danh gia cha't lu<;1ng d6i tu<;1ng nghit%m thu :

STT N()i dung ki~m tra Phu'dng phap ki~m tra Ke't qua ki~m tra

1 H6 so Qultn ly cha't htqng KiSm tra Dt;zt 2 Ki~m tra c6ng vi~c t<:ti hi~n tntO'ng Quan sat Dt;zt

Danh gia cha't lu<;1ng nghit%m thu: Dg_t yeu cdu, dii hoan thimh thi c6ng xay dlfng toim b<? m6ng c6ng trtnh. 4.3 Cac y kie'n khac (ne'u c6): khong

5. Ke't lu~n: Cha'p nh~n nghit%m thu.

Lieu Thi Pbuqng

H6 sa nghi~m thu b() ph~n cong trlnh xay dtfng, giai do:;tn thi cong xay dtfng g6m: - Bien ban nghit%m thu hoftn thftnh b(> ph~n cong trlnh, giai do<;J.n thj cong xay dlfng va cac ph1,1 l1,1c khac kern theo;

- Cac tai lit%u lam din eli dS nghit%m thu.

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