Cod formular F-03 Anexa 20

SC Disp SRL
Str. Victoriei Nr. 9B, Ploieti; Tel. / Fax : +40 244 472410 / +40 244 474411

DECLARAIE DE CONFORMITATE

Nr. 12879 Data 09.06.2016

Noi, SC Disp SRL, Str. Victoriei, Nr. 9B, Ploieti, Jud.

Prahova, Romnia, declarm pe propria rspundere c produsul:

We , SC Disp SRL, No. 9B Victoriei street , Ploieti, Prahova

county, Romania, declare under our sole responsability that the product:

- contract/ contract: 35/2016

- denumire/ name: Dispozitiv de prindere
- tip sau model/type of model: DP - 06
- numr lot, arja sau serie/ lot of branch or serial number Lot DT-4785/166
- numr buci/ no. of pieces: 2
- numr colet/ parcel no.: 589 81140743

la care se refer aceast declaraie este n conformitate cu

urmtorul(ele) standard(e) sau cu alte document(e) normative(e).
to which this declaration relates is in conformity with the following
standard(s):

ISO 9001:2015
Caiet de sarcini
Carte tehnic

Manager general Inspector autorizat ef serviciu CTC

(Nume, semnatur, dat) (Nume, semnatur, dat) (Nume, semnatur, dat)