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[]
["            骨材試験依頼書"]
[]
[]
["沖縄県生コンクリート工業組合"]
["北部地区共同試験所 御中"]
[]
["※太枠内のみ御記入ください",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2]
["依頼者",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,{"$f":"G10","v":0},null,null,null,null,null,null,null,null,null,null,null,"１当所で処分　・　２引取（　　　　　　　　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"F11","v":0},null,null,null,null,null,null,null,"○",null,null,null,"①当所で処分　・　２引取（　　　　　　　　　　　　　　　　）"]
[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,{"$f":"F12","v":0},null,null,null,null,null,null,null,null,null,null,null,"１当所で処分　・　②引取（　　　　　　　　　　　　　　　　）"]
[null,null,"担当者",null,null,"所属名",null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I13","v":0}]
[null,null,null,null,null,"ＴＥＬ",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,{"$f":"U13","v":0},null,null,null,null,null,null,null,null,null,null,null,"１郵送　・　２その他(　　　　　　　　　　　　)"]
["種 類",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"産地",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"I14","v":0},null,null,null,null,null,null,null,null,null,null,null,"①郵送　・　２その他(　　　　　　　　　　　　)"]
["採取日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"採取場所",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,{"$f":"U14","v":0},null,null,null,null,null,null,null,null,null,null,null,"１郵送　・　②その他(　　　　　　　　　　　　)"]
["採取者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所属名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"F15","v":"00:00:00"}]
["試\n験\n項\n目",null,"試験名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"試験規格",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"U15","v":"00:00:00"}]
[null,null,"骨材のふるい分け試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 1102:2014",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"F16","v":"00:00:00"}]
[null,null,"硫酸ナトリウムによる骨材の安定性試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 1122:2014",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"U16","v":"00:00:00"}]
[null,null,"骨材の塩化物量試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 5308　附属書JA　JA.10p)：2024",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"F17","v":"00:00:00"}]
[null,null,"細骨材の有機不純物試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 1105:2015",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"U17","v":"00:00:00"}]
[null,null,"細骨材の密度及び吸水率試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 1109:2020"]
[null,null,"粗骨材の密度及び吸水率試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 1110:2020"]
[null,null,"骨材の微粒分量試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 1103:2014"]
[null,null,"骨材中に含まれる粘土塊量の試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 1137:2014"]
[null,null,"骨材の単位容積実積率試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 1104:2019"]
[null,null,"粒形判定実積率試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 5005:2020"]
[null,null,"ロサンゼルス試験機による粗骨材のすりへり試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 1121:2022"]
[null,null,"骨材に含まれる密度1.95㎏/㎝3の液体に浮く粒子の試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 1141:2007"]
[null,null,"ひっかき硬さによる粗骨材中の軟石量試験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"JIS A 1126:2007"]
["試料の処分方法",null,null,null,null,null,null,"①当所で処分　・　２引取（　　　　　　　　　　　　　　　　）"]
["報告書発送先",null,null,null,null,null,null,"〒"]
[null,null,null,null,null,null,null,"住　所"]
[null,null,null,null,null,null,null,"会社名"]
[null,null,null,null,null,null,null,"報告書の受領【",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,"】"]
["請求書発送先",null,null,null,null,null,null,"〒"]
[null,null,null,null,null,null,null,"住　所"]
[null,null,null,null,null,null,null,"会社名"]
["備　考"]
[]
[]
["※下記は試験所記入欄"]
["試験番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受付日",null,null,null,"　　　　　年 　　　月 　　　日"]
["試験期間",null,null,null,null,"受付日～　　　年 　月 　日",null,null,null,null,null,null,null,null,null,"納期",null,null,null,"　　　　　年 　　　月 　　　日"]
["備　考",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"試験所所長",null,null,null,"試験者",null,null,null,"受付者"]