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[]
[{"$nulls":4},"申込書送付先"]
[{"$nulls":4},"  メールアドレス：jp16_ep_asm@eurofins.com"]
[{"$nulls":4},"  FAX：054-347-7446"]
[{"$nulls":8},"　ユーロフィン・エコプロリサーチ株式会社"]
[]
["日本茶輸出促進協議会　御中"]
[]
[null,"輸出用茶残留農薬検査申込書"]
[{"$nulls":6},"令和元年",null,"月",null,"日"]
[]
["申込者","社 名\n又は氏名"]
[null,"住　所","〒"]
[]
[null,"TEL/FAX","TEL",{"$nulls":3},"FAX"]
[]
[null,"E-mail"]
["検査茶種/区分け",null,"茶種（記載例 ： 煎茶、抹茶など）",{"$nulls":3},"区分け（記載例 ： 荒茶、仕上げ茶 など）"]
[]
["予定輸出先国及び数量",null,"予定輸出先国",{"$nulls":4},"数量"]