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["アスベスト類施工状況調査表"]
[]
[null,"工事年度・番号",null,null,"：",null,null,"年度",null,null,"第",null,"号"]
[]
[null,"工事名",null,null,"："]
[]
[null,"設計者","：",null,null,null,null,null,null,null,null,null,null,"（調査日","：","　　年　　月　　日",null,null,"）"]
[]
[null,null,null,"建築物建設時期",null,null,null,"年度","棟名","："]
[]
[null,null,null,"最終工事履歴",null,null,null,"年","内容","（",null,null,null,null,null,null,null,null,"）"]
[]
[null,"施工者","：",null,null,null,null,null,null,null,null,null,null,"（調査日","：","　　年　　月　　日",null,null,"）"]
[]
[null,"作業管理者","：",null,null,null,null,null,null,null,null,null,null,"（調査日","：","　　年　　月　　日",null,null,"）"]
[]
[null,"棟",null,"階",null,"室名",null,"部位",null,"仕上（部分）",null,null,null,null,null,null,"厚み\n（㎜）","数量\n（㎡）","対象の有無（×△○）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"①設計者","②施工者","③作業管理者"]
[null,null,null,null,null,null,null,null,null,"①"]
[null,null,null,null,null,null,null,null,null,"②"]
[null,null,null,null,null,null,null,null,null,"③"]
[null,null,null,null,null,null,null,null,null,"①"]
[null,null,null,null,null,null,null,null,null,"②"]
[null,null,null,null,null,null,null,null,null,"③"]
[null,null,null,null,null,null,null,null,null,"①"]
[null,null,null,null,null,null,null,null,null,"②"]
[null,null,null,null,null,null,null,null,null,"③"]
[null,null,null,null,null,null,null,null,null,"①"]
[null,null,null,null,null,null,null,null,null,"②"]
[null,null,null,null,null,null,null,null,null,"③"]
[null,null,null,null,null,null,null,null,null,"①"]
[null,null,null,null,null,null,null,null,null,"②"]
[null,null,null,null,null,null,null,null,null,"③"]
[null,null,null,null,null,null,null,null,null,"①"]
[null,null,null,null,null,null,null,null,null,"②"]
[null,null,null,null,null,null,null,null,null,"③"]
[null,null,null,null,null,null,null,null,null,"①"]
[null,null,null,null,null,null,null,null,null,"②"]
[null,null,null,null,null,null,null,null,null,"③"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（凡例：×含有有り、△含有有りと思われる、○含有無し）"]
[null,null,null,null,null,null,null,null,null,null,null,null,"仕上げ及び対象の有無は設計者、施工者において順次記入する。"]