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["v2","地盤改良体の配合試験　依頼書　作成フォーム"]
[null,"依頼者情報","会社名"]
[null,null,"住所"]
[null,null,"担当者","氏名"]
[null,null,null,"TEL"]
[null,null,null,"Email",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"土質の種類情報（ドロップダウンリスト用）",null,null,null,null,null,null,"工法の種類情報（ドロップタウンリスト用）",null,null,null,null,null,null,"配合方法の種類情報（ドロップタウンリスト用）",null,null,null,null,null,null,"養生方法の種類情報（ドロップタウンリスト用）",null,null,null,null,null,null,"設計基準強度の情報（ドロップタウンリスト用）"]
[]
[]
[null,"報告書宛名"]
[null,"報告書宛名（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,"有機質土",null,null,null,null,null,null,"深層混合処理工法",null,null,null,null,null,null,"粉体混合",null,null,null,null,null,null,"湿空養生",null,null,null,null,null,null,"要：記載する"]
[null,"工事名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"粘性土",null,null,null,null,null,null,"浅層混合処理工法",null,null,null,null,null,null,"スラリー混合",null,null,null,null,null,null,"気中養生",null,null,null,null,null,null,"否：記載なし又は不明"]
[null,"現場住所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ローム",null,null,null,null,null,null,"その他",null,null,null,null,null,null,"その他",null,null,null,null,null,null,"その他"]
[null,"施工者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"砂質土"]
[null,"供試体の諸条件","土質の種類\nリスト選択",null,null,null,null,null,null,null,null,"土質\nその他の場合",null,null,null,null,null,null,null,null,"←その他選択時に記載願います",null,null,null,null,"不明"]
[null,null,"工法の種類\nリスト選択",null,null,null,null,null,null,null,null,"工法\nその他の場合",null,null,null,null,null,null,null,null,"←その他選択時に記載願います",null,null,null,null,"その他"]
[null,null,"土の採取日",null,null,null,null,null,null,null,null,"採取位置（深さ）",null,null,null,null,null,null,null,null,null,"固化材情報（ドロップダウンリスト用）"]
[null,null,"固化材\n品名リスト選択",null,null,"品名",null,"TL-3E",null,null,null,"生産者",null,null,{"$f":"VLOOKUP(H17,V19:W53,2,FALSE)","v":"住友大阪セメント㈱"},null,null,null,null,null,null,"※記載の無い固化材は、空白段に記載願います。"]
[null,null,null,null,null,"配合量",null,null,null,"kg/㎥",null,null,null,"kg/㎥",null,null,null,"kg/㎥",null,null,null,"品名","生産者","六価クロム\n対策"]
[null,null,null,null,null,"水結合材比",null,null,null,null,"％",null,null,null,null,null,null,null,null,null,null,"TL-3E","住友大阪セメント㈱","有"]
[null,null,"配合方法",null,null,{"$f":"IF(F15=\"浅層混合処理工法\",\"粉体混合\",\"スラリー混合\")","v":"スラリー混合"},null,null,null,null,null,"配合方法\nその他の場合",null,null,null,null,null,null,null,null,null,"TL-4","住友大阪セメント㈱","有"]
[null,"配合試験条件等","設計基準強度",null,null,"Fc=",null,null,null,"kN/㎡",null,null,null,null,null,null,null,null,null,null,null,"TL-2000","住友大阪セメント㈱","有"]
[null,null,"現場一軸圧縮強さ",null,null,"quf=",null,null,null,"kN/㎡",null,"※quf=α×Fc　なお、α=1/(1-m･Vquf)を表します。",null,null,null,null,null,null,null,null,null,"TL-ACE","住友大阪セメント㈱","有"]
[null,null,"室内配合強度",null,null,"X7=",null,null,null,"kN/㎡",null,"（材齢7日）",null,null,null,null,null,null,null,null,null,"TL-S","住友大阪セメント㈱","有"]
[null,null,null,null,null,"X28=",null,null,null,"kN/㎡",null,"（材齢28日）",null,null,null,null,null,null,null,null,null,"US-10","宇部三菱セメント㈱","無"]
[null,null,"強度比",null,null,"現場/室内d1=",null,null,null,null,null,"X28/X7=",null,null,null,null,null,null,null,null,null,"US-20","宇部三菱セメント㈱","無"]
[null,null,"配合強度の材齢",null,null,"材齢",null,null,null,"日",null,"※配合強度を定める材齢をご記入下さい。",null,null,null,null,null,null,null,null,null,"US-30","宇部三菱セメント㈱","無"]
[null,null,"変動係数",null,null,"Vquf=",null,null,null,null,"％","※補正係数がある場合は、空欄で構いません。",null,null,null,null,null,null,null,null,null,"US-40","宇部三菱セメント㈱","無"]
[null,null,"補正係数",null,null,"α=\n1/(1-m･Vquf)",null,null,null,null,null,"※指定がない場合m=1.3、Vquf=45%で算定します",null,null,null,null,null,null,null,null,null,"US-50","宇部三菱セメント㈱","有"]
[null,null,"養生方法",null,null,"湿空養生",null,null,null,null,null,"養生方法\nその他の場合",null,null,null,null,null,null,null,null,null,"US-52","宇部三菱セメント㈱","有"]
[null,"特記事項",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"US-60","UBE三菱セメント㈱","有"]
[null,"試験報告書の発行方法",null,null,null,"電子データ(PDF)",null,null,null,null,null,"六価クロム",null,null,null,null,null,null,null,null,null,"US-65","UBE三菱セメント㈱","有"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"US-70","UBE三菱セメント㈱","有"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"US-75","UBE三菱セメント㈱","有"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"US-S6","UBE三菱セメント㈱","有"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"US-S7","UBE三菱セメント㈱","有"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"US-S1","宇部三菱セメント㈱","無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"US-S5","宇部三菱セメント㈱","有"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"普通ポルトランド\nセメント","宇部三菱セメント㈱","無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"高炉セメントB種","宇部三菱セメント㈱","無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"GS-200","太平洋セメント㈱","有"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"GS-223","太平洋セメント㈱","有"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"GS-225","太平洋セメント㈱","有"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"GS-263","太平洋セメント㈱","有"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"GS-265","太平洋セメント㈱","有"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"GS-275","太平洋セメント㈱","有"]

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[null,"地盤改良体の配合試験　依頼書"]
[null,"一般財団法人ベターリビング　御中"]
[null,"一般財団法人ベターリビング「試験業務約款」に同意し、下記の内容にて試験を依頼します。"]
[null,"＊太枠内をご記入下さい(裏面もご確認下さい)"]
[null,"依頼者",null,"会社名 "]
[null,null,null,"住所"]
[null,null,null,"担当者",null,null,null,null,null,null,null,null,null,null,"TEL",null,null,null,null,null,null,null,null,"E-mail"]
[null,"報告書宛名"]
[null,"宛名住所"]
[null,"工事件名"]
[null,"現場住所"]
[null,"施工者名"]
[null,"供試体の諸条件","土質の種類",null,null,null,null,null,"1.有機質土",null,null,null,"2.粘性土",null,null,"3.ローム",null,null,"4.砂質土",null,null,"5.その他（",null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,"工法の種類",null,null,null,null,null,"1.深層混合処理工法",null,null,null,null,null,"2.浅層混合処理工法 ",null,null,null,null,null,null,"3.その他（",null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,"採取位置"]
[null,null,"土の採取日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※土の採取日を記入ください"]
[null,null,"固化材",null,null,null,null,null,"生産者(",null,null,null,null,null,null,null,null,null,null,null,null,")","品名(",null,null,null,null,null,null,null,null,null,"）"]
[null,null,"配合量",null,null,null,null,null,"配合量(",null,null,null,null,",",null,null,",",null,null,"kg/m3)",null,null,"水結合材比(",null,null,null,null,null,null,"％）"]
[null,"配合試験条件","配合方法",null,null,null,null,null,"1.粉体混合",null,null,null,null,"2.スラリー混合",null,null,null,null,"3.その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,"設計基準強度",null,null,null,null,"Fc= ",null,null,null,null,null,"kN/m2",null,null,null,null,null,"－"]
[null,null,"現場一軸圧縮強さ",null,null,null,null,"quf=",null,null,null,null,null,"kN/m2",null,null,null,null,null,"※quf=α×Fc　なお、α=1/(1-m･Vquf)を表します"]
[null,null,"室内配合強度",null,null,null,null,"X7=",null,null,null,null,null,"kN/m2",null,"(材齢 7日)",null,null,null,"－"]
[null,null,null,null,null,null,null,"X28=",null,null,null,null,null,"kN/m2",null,"(材齢28日)",null,null,null,"－"]
[null,null,"強度比",null,null,null,null,"現場/室内：d1=quf/X28=",null,null,null,null,null,null,null,null,null,"配合強度材齢28日/材齢7日：X28/X7 =",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　"]
[null,null,"配合強度の材齢",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※配合強度を定める材齢をご記入ください"]
[null,null,"変動係数",null,null,null,null,"Vquf=",null,null,null,null,null,"%",null,null,null,null,null,"※補正係数がある場合は、空欄で構いません"]
[null,null,"補正係数",null,null,null,null,"α=1/(1-m･Vquf)=　",null,null,null,null,null,null,null,null,null,null,null,"※指定がない場合m=1.3、Vquf=45%で算定します"]
[null,null,"養生方法",null,null,null,null,null,"1.湿空養生",null,null,null,null,"2.気中養生",null,null,null,null,"3.その他(",null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"六価クロム試験",null,null,null,null,null,null,"1.要(有料) ",null,null,null,null,"2.不要　",null,null,null,"\"要\"を選択した場合は※1を承諾します"]
[null,"特記事項"]
[null,"試験報告書の発行方法",null,null,null,null,null,null,"1.電子データ（PDF）",null,null,null,null,null,null,"2.専用用紙"]
[]
[]
[null,"※１六価クロム溶出試験については、外部発注となります。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"試験番号"]
[null,"試験報告書（正本）は電子媒体（.pdfファイル）での発行となります。"]
[null,"電子媒体（.pdfファイル）を印刷したものは、「写し（コピー）」という取扱になります。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受付日"]
[null,"\"試験業務約款\"を必ずご覧下さい。クリックするとリンク先に移動します。"]
[null,"試験依頼書にご記入の個人情報は、適正に管理し依頼された試験業務及び連絡事務等に利用させて頂くこと以外の利用は致しません。"]