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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"本社TEL ","055-233-0171"]
[null,"千野建材株式会社 本社 行",null,null,null,null,null,null,null,null,null,null,null,null,"FAX ","055-232-6500"]
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[null,"骨材品質証明（ミルシート）依頼書"]
[]
[null,"※プリントアウト後手書きで記入する場合、ボールペン等濃いペンでお願いいたします。"]
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[null,"依頼会社名\n（御社名）",null,null,null,null,null,null,null,null,null,null,"ご担当者様"]
[null,null,null,null,null,null,null,null,null,null,null,null,"連絡先TEL"]
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[null,"元請業者名"]
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[null,"実際に記載される項目","表紙記載\n会社名"]
[null,null,"表紙記載\n工事名"]
[null,null,"品名（表紙記載）\n\n部数\n\n使用数量\n\n※C40、M30、M40、CB材は\n立沢又は芦安工場を指定してください","品名",null,null,null,null,null,null,"部数",null,null,null,null,"使用数量"]
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[null,"工事場所"]
[null,"工期",null,null,null,null,"年",null,"月",null,"日～",null,null,"年",null,"月",null,"日"]
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[null,"納入期間",null,null,null,null,"年",null,"月",null,"日～",null,null,"年",null,"月",null,"日"]
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[null,"ミルシート受取方法\n（未記入の場合、\n本社受取となります）",null,null,null,"千野建材本社にて受取"]
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[null,null,null,null,null,"工場にて受取",null,null,null,null,"受取先：　八田工場　・　立沢工場　・　芦安工場　から選択"]
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[null,"ミルシート\n受取日時他備考"]
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[null,null,null,"○"]
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[null,null,null,"八田工場でミルシート受取"]
[null,null,null,"立沢工場でミルシート受取"]
[null,null,null,"芦安工場でミルシート受取"]