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["Analyserekvisition Regioner "]
["Bestilling af prøveafhentning tlf: 70224267",null,null,null,null,null,null,"Vand"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Kontakt Eurofins Tlf. 70 22 42 66                               Rekv. mail: 60-reg@eurofins.dk"]
["Tilbuds-/ordrenr.: ",659000,null,"Regionkontrakt"]
["Rekvirent",null,"Rapport sendes til:",null,null,null,null,null,null,null,null,null,null,"Faktura stiles til:"]
["Firma:",null,null,null,null,null,null,null,null,null,null,null,null,"Region "]
["Kontaktperson:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Personref. Nr:"]
["Adresse:"]
["Postnr./By:"]
["Tlf/mobil:"]
["E-mail:"]
["Evt. kopi til:"]
["EAN nr.: ",null,null,null,null,null,null,null,null,null,null,null,null,579800]
["Lokalitetsnr:",null,null,"Sagsnr: ",null,null,null,null,null,null,null,"Lokalitetsnavn/Sagsnavn:"]
["Prøver udtaget den:",null,null,"Prøver indlev. den:",null,null,null,null,null,null,null,"Prøvetager:",null,null,null,null,null,null,null,"Antal prøver:"]
[]
["DGUnr:",null,null,null,null,null,null,"Filternr:"]
["Feltdata:",null,"Temp °C (CAR7C):",null,null,null,null,null,"pH (CAR90):",null,null,null,null,null,null,null,null,"Ledn mS/m (CAR9A): "]
["Ilt mg/l (CAR8K):",null,"Ilt % (CAR8G):",null,null,null,"Redox mV (CAR8X):",null,null,null,null,null,null,null,null,null,null,"Pumpeydelse m3/h (CAR0P):"]
["Pejling:","Forpumpning L (CAR0K):",null,null,"Pejlepunkt m (CAR0L):",null,null,null,null,null,null,null,"Pejling i ro m.u.mp. (CAR0M):",null,null,null,null,null,null,null,"Pejling i drift m.u.mp. (CAR0N):"]
[]
["Ovenstående udfyldes, hvis dette skal påføres analyserapporten og Standat og Jupiter"]
["Leveringstidskoder:",null,null,null,null,"5 Arb.dage (STD)",null,"5 Arb.dage (STD)",null,"5 Arb.dage (STD)",null,"10 Arb.dage (STD)",null,"5 Arb.dage (STD)","10 Arb.dage (STD)","15 Arb.dage (STD)",null,null,"10 Arb.dage (STD)","15 Arb.dage (STD)",null,null,null,null,"1. Arb.dag *"]
["Omfangskode:","0"]
["Formålskode: ","20"]
[]
[null,"Vandprøver gemmes 7 dage efter analyse",null,null,null,"Total kulbrinter + BTEXN",null,"Chlorerede kulbrinter og Chlorerede nedbrydn.GC/MS + P&T",null,"Chlorerde kulbrinter",null,"Polære opløsningsmidler P&T",null,"THC + BTEXN + Chl. Opl + Chl. Ned","Hovedbestanddele ( Boringskontrol) ",null,null,null,"Vand Pesticidpakke 2","Vand Pesticidpakke 3","    ",null,null,null,"HASTE Total kulbrinter + BTEXN'er (GC-FID)  "]
["Lab. nr.                            (udfyldes af lab.)","Prøvemærkning\n(DGUnr)",null,"Filter\nnr","Dybde m.u.t.","PCA60",null,"ABD",null,"PCA66",null,"AAX",null,"ABG","AAA",null,null,null,"ABR","ACZ",null,null,null,null,"PCA60"]
[]
[]
[]
[]
[]
[]
["Bemærkninger:"]
["* 1. Arb.dag kl 12 (R011200) eller Region Hovedstaden kl 9 (R010900). Hasteprøver skal altid varsles."]
["Se Regionens tilbudsskema for øvrige analyser/priser/leveringstider eller kontakt Eurofins Kundecenter på G30@eurofins.dk eller 70224267"]
["Vær opmærksom på at det vil være den analyse med længste leveringstid, der vil være gældende for hele prøvens leveringstid. Dermed også hastetillæg ved bestilling af hasteanalyser. "]
["Vær opmærksom på at såfremt prøver ikke udtages i korrekt emballage eller hvis der ikke udtages tilstrækkeligt prøvemateriale til de bestilte analyser, vil der ikke være mulighed for omkørsel eller reanalyse – hvis der skulle blive behov for ny prøvetagning, vil Eurofins ikke forestå omkostningerne til en ny prøveudtagning."]