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["強度試験依頼書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," φ   ×   "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１ 必要　　・　２ 不必要","１ 不必要 ・ ２ 片面研磨 ・ ３ 両面研磨 ・ ４ その他"," φ50 ×100"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"① 必要　　・　２ 不必要","① 不必要 ・ ２ 片面研磨 ・ ３ 両面研磨 ・ ４ その他"," φ100×200 "]
["沖縄県生コンクリート工業組合",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１ 必要　　・　② 不必要","１ 不必要 ・ ② 片面研磨 ・ ３ 両面研磨 ・ ４ その他"," φ125×250"]
["北部地区共同試験所",null,null,null,null,null,null,null,null,null,null,null,"御中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１ 不必要 ・ ２ 片面研磨 ・ ③ 両面研磨 ・ ４ その他"," φ150×300"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１ 無 ・ ２ 有","１ 不必要 ・ ２ 片面研磨 ・ ３ 両面研磨 ・ ④ その他"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"① 無 ・ ２ 有",null,"１ 当所で処分　・ ２ その他"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１ 無 ・ ② 有","１ 標準養生 ・ ２ 現場水中養生 ・ ３ その他","① 当所で処分　・ ２ その他"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"① 標準養生 ・ ２ 現場水中養生 ・ ３ その他","１ 当所で処分　・ ② その他"]
["依　頼　者　",null,null,"住  所",null,null,null,null,"〒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"J14","v":0},null,null,null,null,null,null,null,null,null,{"$f":"IF(AY14=0,\"0\",AY14)","v":"0"},null,null,null,null,null,"１ 標準養生 ・  ２ 室外水中   ・ ３ その他","１ 標準養生 ・ ② 現場水中養生 ・ ３ その他"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I15","v":0},null,null,null,null,null,null,null,null,null,{"$f":"IF(AY15=0,\"0\",AY15)","v":"0"},null,null,null,null,null,"① 標準養生 ・  ２ 室外水中   ・ ３ その他","１ 標準養生 ・ ２ 現場水中養生 ・ ③ その他"]
[null,null,null,"会社名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I16","v":0},null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,"１ 標準養生 ・  ② 室外水中   ・ ３ その他"]
[null,null,null,"担当者",null,null,null,null,"所属",null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I19","v":0},null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,"１ 標準養生 ・  ２ 室外水中   ・ ③ その他","１ 郵送　　  ・  ２ その他"]
[null,null,null,null,null,null,null,null,"ＴＥＬ",null,null,null,null,null,null,null,null,null,null,null,null,"ＦＡＸ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I20","v":0},null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,null,"① 郵送　　  ・  ２ その他"]
[null,"工事名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I21","v":"１ JIS A 1108準拠 ・ ２ JIS A 1107準拠 ・ ３ JSCE G 505準拠\n４ JSCE G 521準拠 ・ ５ JSCE G 531準拠 ・ ６ その他 (            )"},null,null,null,null,null,null,null,null,null,"１ JIS A 1108準拠 ・ ２ JIS A 1107準拠 ・ ３ JSCE G 505準拠\n４ JSCE G 521準拠 ・ ５ JSCE G 531準拠 ・ ６ その他 (            )",null,null,null,null,null,"気中養生","１ 郵送　　  ・  ② その他"]
[null,"打設箇所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,"封かん養生"]
[null,"試験方法",null,null,null,null,null,null,"１ JIS A 1108準拠 ・ ２ JIS A 1107準拠 ・ ３ JSCE G 505準拠\n４ JSCE G 521準拠 ・ ５ JSCE G 531準拠 ・ ６ その他 (            )",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,null,"１ 希望なし  ・  ２ 希望あり"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,null,"① 希望なし  ・  ２ 希望あり"]
[null,"供試体端面の処理",null,null,null,null,null,null,"１ 不必要 ・ ２ 片面研磨 ・ ３ 両面研磨 ・ ４ その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I24","v":0},null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,null,"１ 希望なし  ・  ② 希望あり"]
[null,"供試体の種類",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"供試体形状・個数",null,null,null,null,null,null," φ   ×   ",null,null,null,null,null,"・",3,"本",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I25","v":"00:00:00"},null,null,null,null,null,null,null,null,null,"0"]
[null,"打設日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"供試体作製日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"Z25","v":"00:00:00"},null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,null,"１ JIS A 1108準拠 ・ ２ JIS A 1107準拠 ・ ３ JSCE G 505準拠\n４ JSCE G 521準拠 ・ ５ JSCE G 531準拠 ・ ６ その他 (            )"]
[null,"試料名",null,null,null,null,null,null,"１ 無 ・ ２ 有",null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,null,"① JIS A 1108準拠 ・ ２ JIS A 1107準拠 ・ ３ JSCE G 505準拠\n４ JSCE G 521準拠 ・ ５ JSCE G 531準拠 ・ ６ その他 (            )"]
[null,"養生方法",null,null,null,null,null,null,"１ 標準養生 ・ ２ 現場水中養生 ・ ３ その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"O26","v":0},null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,null,"１ JIS A 1108準拠 ・ ② JIS A 1107準拠 ・ ３ JSCE G 505準拠\n４ JSCE G 521準拠 ・ ５ JSCE G 531準拠 ・ ６ その他 (            )"]
[null,"当試験所での保管方法",null,null,null,null,null,null,"１ 標準養生 ・  ２ 室外水中   ・ ３ その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,null,"１ JIS A 1108準拠 ・ ２ JIS A 1107準拠 ・ ③ JSCE G 505準拠\n４ JSCE G 521準拠 ・ ５ JSCE G 531準拠 ・ ６ その他 (            )"]
[null,"試験年月日",null,null,null,null,null,null,{"$f":"IF(AND(OR(I25=\"\",I25=\"年　　月　　日\"),T29=\"\"),\"　　年　　月　　日\",T29+I25)","v":"　　年　　月　　日"},null,null,null,null,null,null,null,null,"(材齢",null,null,null,"日)",null,"※材齢指定のない場合は試験希望日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,null,"１ JIS A 1108準拠 ・ ２ JIS A 1107準拠 ・ ３ JSCE G 505準拠\n④ JSCE G 521準拠 ・ ５ JSCE G 531準拠 ・ ６ その他 (            )"]
[null,"立会の有無",null,null,null,null,null,null,"１ 無 ・ ２ 有",null,null,null,null,"（",null,"希望時間：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,null,"１ JIS A 1108準拠 ・ ２ JIS A 1107準拠 ・ ３ JSCE G 505準拠\n４ JSCE G521準拠 ・ ⑤ JSCE G 531準拠 ・ ６ その他 (            )"]
[null,"試料の処分方法",null,null,null,null,null,null,"１ 当所で処分　・ ２ その他",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0",null,null,null,null,null,null,"１ JIS A 1108準拠 ・ ２ JIS A 1107準拠 ・ ３ JSCE G 505準拠\n４ JSCE G 521準拠 ・ ５ JSCE G 531準拠 ・ ⑥ その他 (            )"]
[null,"報告書発送先",null,null,null,null,null,null,"〒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0"]
[null,null,null,null,null,null,null,null,"住　所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0"]
[null,null,null,null,null,null,null,null,"会社名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0"]
[null,"請求書発送先",null,null,null,null,null,null,"〒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0"]
[null,null,null,null,null,null,null,null,"住　所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0"]
[null,null,null,null,null,null,null,null,"会社名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0"]
[null,"報告書発送方法",null,null,null,null,null,null,"１ 郵送　　  ・  ２ その他",null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0"]
[null,"報告書発送希望日",null,null,null,null,null,null,"１ 希望なし  ・  ２ 希望あり",null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0"]
[null,"報告書備考欄\nへの記載事項",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0"]
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["備　考",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I27","v":"１ 標準養生 ・ ２ 現場水中養生 ・ ３ その他"},null,null,null,null,null,null,null,null,null,"１ 標準養生 ・ ２ 現場水中養生 ・ ３ その他"]
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[null,"※供試体端面の処理を行った場合、別途処理費用が発生します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I29","v":"　　年　　月　　日"},null,null,null,null,null,null,null,null,null,"　　年　　月　　日"]
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[null,"共同試験所記入欄",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I40","v":0},null,null,null,null,null,null,null,null,null,"0"]
[null,"依頼項目\n及び料金",null,null,null,null,null,null,"･円柱圧縮試験（3本）×",null,null,null,null,null,null,null,null,"･円柱圧縮試験（1本）×",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I41","v":0},null,null,null,null,null,null,null,null,null,"0"]
[null,null,null,null,null,null,null,null,"･型枠脱型（1本）×",null,null,null,null,null,null,null,null,"･切断（1断面）×",null,null,null,null,null,null,null,"･研磨処理（片面）×",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I42","v":0},null,null,null,null,null,null,null,null,null,"0"]
[null,"受付日",null,null,null,null,null,null,"年　　月　　日",null,null,null,null,null,null,null,null,null,null,"試験番号"]
[null,"試料搬入日",null,null,null,null,null,null,"年　　月　　日",null,null,null,null,null,null,null,null,null,null,"納期",null,null,null,null,null,"年　　月　　日"]
[null,"受入状態",null,null,null,null,null,null,null,"欠陥の有無",null,null,null,"：","無","・","有","(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
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