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[{"$nulls":7},"GNQF1406-05"]
["修理・不具合調査依頼票"]
[null,"ご記入者：",null,null,"様","(代理店：",null,null,"）"]
["依頼者様の連絡先",{"$nulls":3},"エンドユーザ様の連絡先"]
["依頼日",{"$nulls":3},"（異常発生時の状況把握する為）"]
["会社名",{"$nulls":3},"会社名"]
["電話番号",{"$nulls":3},"電話番号"]
["ご担当者",null,null,"様","ご担当者",{"$nulls":3},"様"]
["製品名",null,"機種名",null,"製造番号"]
["□内にチェックをお願いします。"]
["具体的な内容をご記入下さい（状況を把握し、迅速に修理する為）"]
["発生状況",null,"具体的に"]
[]
[]
[]
[]
["発生頻度",null,"具体的に"]
[]
[]
[]
[]
[]
["現象",null,"具体的に"]
[]
[]
[]
[]
[]
[]
["ご要望、ご意見等"]
[]
[]
[]
[]
[]
["グレイテクノス株式会社"]
[{"$nulls":7},"GNQF1406-05"]
[null,"ご意見　（もし良かったら、以下にご意見をお寄せ願います）"]
[]
[null,"ご記入者",null,"様","ご記入日","年","月","日"]
["　1.　製品の仕様、性能、品質について"]
{"$rows_empty":25}
["　2.　当社及び代理店様の対応について"]
{"$rows_empty":24}
["グレイテクノス株式会社"]