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["Analyserekvisition Regioner 2023"]
[null,null,"1 rekvisition pr. prøve",null,null,null,null,"Vand"]
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["Tilbudsnr.:"]
["Rekvirent",null,"Rapport sendes til:",null,null,null,null,null,null,null,null,null,null,"e-Faktura skal sendes til:"]
["Firma:",null,null,null,null,null,null,null,null,null,null,null,null,"*"]
["Kontaktperson:",null,null,null,null,null,null,null,null,null,null,null,null,"*"]
["Adresse:"]
["Postnr./By:"]
["Tlf/mobil:",null,null,null,null,null,null,null,null,null,null,null,null,"* skal fremgå af e-faktura"]
["E-mail:",null,null,null,null,null,null,null,null,null,null,null,null,"e-mail:"]
["Evt. kopi til:",null,null,null,null,null,null,null,null,null,null,null,null,"CVR nr*: "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"EAN nr*:   "]
["Lokalitetsnr*",null,null,"Sags nr*",null,null,null,null,null,null,null,"Personreference (email)*:"]
["Prøve udtaget den:",null,null,"Prøve indlev. den:",null,null,null,null,null,null,null,"Prøvetager:*"]
["Feltdata:",null,"Temp °C :",null,null,null,null,null,"pH:",null,null,null,null,null,null,null,null,"Ledn mS/m: "]
["Ilt mg/l :",null,"Ilt %:",null,null,null,"Redox mV:",null,null,null,null,null,null,null,null,null,null,"Pumpeydelse m3/h:"]
["Pejling:","Forpumpning L:",null,null,"Pejlepunkt m:",null,null,null,null,null,null,null,"Pejling i ro m.u.mp.:",null,null,null,null,null,null,null,"Pejling i drift \nm.u.mp.:"]
[]
["Filter information:",null,"Filter Nummer:",null,"Filter dybte interval:",null,null,null,null,null,null,null,"Risiko for særlig forurening:\nJa, eller ved ikke"]
["Filter\nnr","Filter dybde interval",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Risiko for særlig forurening"]
["Prøvetagningsadresse*:"]
["DGUnr:*",null,"Boringsnavn",null,"Pakke Nr. 20200\n\n",null,null,"Bemærkninger"]
[null,null,null,null,"x"]
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["Stregkoder fra alle brugte flasker påklistres her:"]
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["Indholdet af de gule felter er vigtigt i forhold til fakturering og til standatfiler"]
["* er oplysninger der skal fremgå af e-fakturaen"]
["Hvis I har spørgsmål kan I skrive til crm-aauk-dk@agrolab.de eller kontakte 7877 5450"]
["Udfyldte rekvisitioner og vedlægges i kassen. "]