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["Analyserekvisition Regioner ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Revision 5: 07-03-2019"]
["Bestilling af prøveafhentning tlf: 70224267",null,null,null,"Luft - Orsarør"]
[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,"Faktura stiles til:"]
["Firma:",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,"Personref. Nr:"]
["Adresse:"]
["Postnr./By:"]
["Tlf/mobil:"]
["E-mail:"]
["Evt. kopi til:"]
["EAN nr.: ",null,null,null,null,null,null,null,null,null,null,579800]
["Lokalitetsnr:",null,null,null,"Sagsnr: ",null,null,null,null,null,null,"Lokalitetsnavn/Sagsnavn:"]
["Prøver udtaget den:"]
["Prøver indlev. den:",null,null,null,null,null,null,null,null,null,null,"Prøvetager:",null,null,null,null,null,null,null,"Antal prøver:"]
["Leveringstidskoder:",null,null,null,null,null,null,null,"5 Arb.dage (STD)",null,"5 Arb.dage (STD)",null,"5 Arb.dage (STD)",null,"5 Arb.dage (STD)",null,null,"5 Arb.dage (STD)","5 Arb.dage (STD)","10 Arb.dage (STD)",null,null,null,"1. Arb.dag *","1. Arb.dag *"]
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[null,null,"Ved manglede opsamlingstid opgives resultater i µg/rør",null,null,null,null,null,"Total Kulbrinter + BTEX + C9 + C10",null,"Chlorerede kulbrinter  ",null,"Chlorerede nedbrydningsprodukter  ",null,"Chl. kulbrinter + Chl. Nedbrydningsprodukter",null,null,"Total Kulbrinter + BTEX + C9 + C10 + Chlorerede kulbrinter  ","Total Kulbrinter + BTEX + C9 + C10 + Chl. kulbrinter + Chl. nedbr.","Screening for terpener",null,null,null,"HASTE Total Kulbrinter + BTEX + C9 + C10     ","HASTE Chlorerede kulbrinter"]
["Lab. nr.                            (udfyldes af lab.)","Start/slut kl","Opsamlings-tid/min (CAR62)","Prøvemærkning",null,null,null,null,"ABO",null,"PCA4V",null,"PCA4W",null,"PCA4X",null,null,"ABQ","ABR","ABS",null,null,null,"ABO","PCA4V"]
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["Bemærkninger: HUSK AT PÅ FØRE LOKALITETSNUMMER"]
["* 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 er opsamlet på korrekt rør til de bestilte analyser –  vil Eurofins ikke forestå omkostningerne til en ny prøveudtagning."]