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[]
["Demande d'analyse"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"D-ANA-DA-ANA v17"]
["INFORMATION CLIENT",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"partie réservée au laboratoire"]
["Nom:"]
[]
["Adresse:"]
[]
[]
["Tel: / Fax:"]
["Prescript.",null,null,null,"DSATE",null,null,null,null,null,"AUTRE"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"c","accepté"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"c","accepté sous réserve"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"c","refusé"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"c","screening qualitatif"]
[]
["INFORMATION ECHANTILLON"]
["Votre référence:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Date de prélèvement:"]
[]
["Lieu de prélèvement",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Informations supplémentaires / Remarques"]
[null," CHAMBRE",null,null,null,null,null,null," SALON"]
[null," SALLE A MANGER",null,null,null,null,null,null," BUREAU"]
[null," AUTRE"]
[]
["Nature / Description de l'échantillon"]
[null," AIR",null,null,null,null,null,null," MOUSSE"]
[null," BOIS",null,null,null,null,null,null," POUSSIER"]
[null," CUIR",null,null,null,null,null,null," LINO"]
[null," LAINE",null,null,null,null,null,null," PROD. DE NETT./ENTR."]
[null," AUTRE"]
[]
["Provenance de l'échantillon"]
[null," SACHET ASP. 7j",null,null,null,null,null,null," ASPIRATEUR DSAT 7j"]
[null," Matelas",null,null,null,null,null,null," Autre"]
[]
["Conditions de prélèvement (tubes air)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SIGNATURE/TAMPON DU RESPONSABLE:"]
["S"," Tube:",null,null,null,null,null,null," Tenax",null,null,"c"," DNPH",null,null,null,null,"Tout échantillon sans             signature/tampon                                               du responsable est refusé !"]
["S"," Id tube N°:"]
["S"," Date et heure DEBUT:",null,null,null,null,null,"____/____/_____   ____:____h"]
["S"," Date et heure FIN:",null,null,null,null,null,"____/____/_____   ____:____h"]
["S"," Volume air:",null,null,null,null,null,null,null,null,"L",null,null,null,"L"]
["S"," Température:",null,null,null,null,null,null,null,null,"°C",null,null,null,"°C"]
["S"," Humidité:",null,null,null,null,null,null,null,null,"%",null,null,null,"%"]
[]
["ANALYSES DEMANDEES (cf liste détaillée au verso)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"groupe",null,null,null,null,null,null,"détail/substance"]
[false," Éléments"]
[false," Biocides"]
[null," Hydrocarbures Aromatiques Polycycliques (HAP's)"]
[null," Retardateurs de flamme"]
[null," Biphényls Polychlorés (PCB)"]
[null," Phthalates"]
[null," Substances volatiles organiques (VOC's)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"[tube TENAX]"]
[null," Aldéhydes dans l'air ambiant",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"[tube DNPH]"]
[null," Autres analyses/substances (après concertation avec le laboratoire)"]
[null,null,null,null,null,null,null,null,null,null,false,"Prière de remplir une feuille pour chaque échantillon.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"D-ANA-DA-ANA"]
[false]
[null,null,true]
[{"$f":"A2","v":"Demande d'analyse"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AC3","v":"D-ANA-DA-ANA v17"}]
["Détail des substances recherchées et dosées"]
[null,"Éléments"]
[false,null," [Al] Aluminium",null,null,null,null,null,false,null," [Cr] Chrome",null,null,null,null,null,false,null," [Mo]Molybdène",null,null,null,null,null,false,null," [Sn]Etain"]
[false,null," [As] Arséne",null,null,null,null,null,false,null," [Fe] Fer",null,null,null,null,null,false,null," [Ni] Nickel",null,null,null,null,null,false,null," [Sr] Strontium"]
[false,null," [Ba] Barium",null,null,null,null,null,false,null," [Ga] Gallium",null,null,null,null,null,false,null," [Pb] Plomb",null,null,null,null,null,false,null," [Ti] Titane"]
[false,null," [Be] Béryllium",null,null,null,null,null,false,null," [Hg] Mercure",null,null,null,null,null,false,null," [Pd] Palladium",null,null,null,null,null,false,null," [Tl] Thallium"]
[false,null," [Cd] Cadmium",null,null,null,null,null,false,null," [Li] Lithium",null,null,null,null,null,false,null," [Pt] Platine",null,null,null,null,null,false,null," [U] Uranium"]
[false,null," [Co] Cobalt",null,null,null,null,null,false,null," [Mg] Magnésium",null,null,null,null,null,false,null," [Sb] Antimoine",null,null,null,null,null,false,null," [V] Vanadium"]
[false,null," [Cu] Cuivre",null,null,null,null,null,false,null," [Mn] Manganèse",null,null,null,null,null,false,null," [Se] Sélénium",null,null,null,null,null,false,null," [Zn] Zinc"]
[false]
[null,"Biocides"]
[false,null," 4,4'-DDE",null,null,null,null,null,false,null," Cyperméthrine",null,null,null,null,null,false,null," Méthoxychlor",null,null,null,null,null,false,null," Tétraméthrine"]
[false,null," 4,4'-DDT",null,null,null,null,null,false,null," Dichlofluanide",null,null,null,null,null,false,null," Pentachlorophénol*",null,null,null,null,null,false,null," Tolylfluanide"]
[false,null," Azaconazole",null,null,null,null,null,false,null," Dieldrine",null,null,null,null,null,false,null," Perméthrine",null,null,null,null,null,false,null," Tribromophénol"]
[false,null," Bisphénol A",null,null,null,null,null,false,null," Endosulfane",null,null,null,null,null,false,null," Phénothrine",null,null,null,null,null,false]
[false,null," Chlorothalonil",null,null,null,null,null,false,null," Eulan",null,null,null,null,null,false,null," Pipéronyl Butoxide",null,null,null,null,null,false]
[false,null," Chlorpyriphos",null,null,null,null,null,false,null," Fenvalérate",null,null,null,null,null,false,null," Propiconazole",null,null,null,null,null,false]
[false,null," Cyfluthrine",null,null,null,null,null,false,null," Lindane",null,null,null,null,null,false,null," Tétrachlorvinphos",null,null,null,null,null,false]
[false]
[null,"Hydrocarbures aromatiques polycycliques (HAP's)"]
[false,null," Benzo(a)pyrène*",null,null,null,null,null,false,null," Benzo(k)fluoranthène*",null,null,null,null,null,false,null," Acénaphtène",null,null,null,null,null,false,null," Fluorène"]
[false,null," Benzo(a)anthracène*",null,null,null,null,null,false,null," Benzo(g,h,i)pérylène",null,null,null,null,null,false,null," Acénaphtylène",null,null,null,null,null,false,null," Fluoranthène"]
[false,null," Benzo(b)fluoranthène*",null,null,null,null,null,false,null,"Dibenzo(a,h)anthracène",null,null,null,null,null,false,null," Anthracène",null,null,null,null,null,false,null," Pyrène"]
[false,null," Benzo(e)pyrène*",null,null,null,null,null,false,null," Indeno(1,2,3,-c,d)pyrène",null,null,null,null,null,false,null," Chrysène",null,null,null,null,null,false,null," Phénanthrène"]
[false]
[null,"Retardateurs de flamme (phosphatés / phosphatés chlorés / diphényléthers polybromés)"]
[false,null," TBP",null,null,null,null,null,false,null," TBEP",null,null,null,null,null,false,null," TCPP",null,null,null,null,null,false,null," TEHP"]
[false,null," TPP",null,null,null,null,null,false,null," TCEP",null,null,null,null,null,false,null," TdCPP",null,null,null,null,null,false,null," EHDPP"]
[false,null,null,null,null,null,null,null,false,null,null,null,null,null,null,null,false,null,null,null,null,null,null,null,false]
[false,null," TriBDE",null,null,null,null,null,false,null," PentaBDE",null,null,null,null,null,false,null," HeptaBDE",null,null,null,null,null,false]
[false,null," TetraBDE",null,null,null,null,null,false,null," HexaBDE",null,null,null,null,null,false,null," DecaBDE",null,null,null,null,null,false,null," TBBPA"]
[false]
[null,"Biphényls polychlorinés (PCB's)"]
[false,null," PCB 28",null,null,null,null,null,false,"c"," PCB 101*",null,null,null,null,null,false,null," PCB 138*",null,null,null,null,null,false,null," PCB 180*"]
[false,null," PCB 52*",null,null,null,null,null,false,null," PCB 118*",null,null,null,null,null,false,null," PCB 153",null,null,null,null,null,false]
[false]
[null,"Phtalates"]
[false,null," DEHP*",null,null,null,null,null,false,null," DMP",null,null,null,null,null,false,null," DEP",null,null,null,null,null,false,null," DBP"]
[false,null," DOP",null,null,null,null,null,false,null," BBP",null,null,null,null,null,false,null,null,null,null,null,null,null,false]
[false]
[null,"Substances volatiles organiques dans l'air (VOC's)"]
[false,null," Benzène*",null,null,null,null,null,false,null," 1,2,3-Triméthyl-Benz.",null,null,null,null,null,false,null," n-Hexane",null,null,null,null,null,false,null," 1,4-Dichlorobenzène"]
[false,null," Toluène*",null,null,null,null,null,false,null," 1,2,4-Triméthyl-Benz.",null,null,null,null,null,false,null," n-Heptane",null,null,null,null,null,false,null,"Butylacetate"]
[false,null," p-Xylène*",null,null,null,null,null,false,null," 1,3,5-Triméthyl-Benz.",null,null,null,null,null,false,null," n-Octane",null,null,null,null,null,false,null," Trichloréthylène"]
[false,null," m-Xylène*",null,null,null,null,null,false,null,"Phenol",null,null,null,null,null,false,null," n-Nonane",null,null,null,null,null,false,null," Perchloréthylène"]
[false,null," o-Xylène*",null,null,null,null,null,false,null," Styrène",null,null,null,null,null,false,null," n-Décane",null,null,null,null,null,false,null,"Phenoxyéthanol"]
[false,null," Ethyl-Benzène*",null,null,null,null,null,false,null," Limonène",null,null,null,null,null,false,null," n-Undécane",null,null,null,null,null,false,null," Butoxyéthanol"]
[false,null," n-Propyl-Benzène",null,null,null,null,null,false,null," a+b Pinène",null,null,null,null,null,false,null," n-Dodécane",null,null,null,null,null,false,null," Butoxypropanol"]
[false,null," Isopropyl-Benzène",null,null,null,null,null,false,null," Naphtalène",null,null,null,null,null,false,null," n-Tridécane",null,null,null,null,null,false,null," Ethoxyéthoxyéthanol"]
[false,null,"Méthylisothiazolinone",null,null,null,null,null,false,null," 3-Carène",null,null,null,null,null,false,null," n-Tétradécane",null,null,null,null,null,false,null," Butoxyéthoxyéthanol"]
[false]
[null,"Aldéhydes/Carbonyles dans l'air ambiant",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"sampling actif: quantitatif"]
[false,null," Formaldéhyde*",null,null,null,null,null,false,null," Pentanal*",null,null,null,null,null,false,null," Nonanal",null,null,null,null,null,false,null," Benzaldéhyde*"]
[false,null," Acetaldéhyde*",null,null,null,null,null,false,null," Hexanal*",null,null,null,null,null,false,null," Décanal",null,null,null,null,null,false,null," Tolualdéhyde*"]
[false,null," Propanal*",null,null,null,null,null,false,null," Heptanal",null,null,null,null,null,false,null,null,null,null,null,null,null,false,null,"Metacroléine"]
[false,null," Butanal*",null,null,null,null,null,false,null," Octanal",null,null,null,null,null,false,null,"Crotonaldéhyde",null,null,null,null,null,false,null,"Butanone"]
[false,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false]
[null,{"$f":"IF(ISBLANK(C118),\"Autres substances (après concertation LNS)\",\"Autres substances (après concertation LNS)\")","v":"Autres substances (après concertation LNS)"}]
[false,null,null,null,null,null,null,null,false,null,null,null,null,null,null,null,false,null,null,null,null,null,null,null,false]
[false,null,null,null,null,null,null,null,false,null,null,null,null,null,null,null,false,null,null,null,null,null,null,null,false]
[false,null,null,null,null,null,null,null,false,null,null,null,null,null,null,null,false,null,null,null,null,null,null,null,false]
[false,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"D-ANA-DA-ANA"]
["(*) = Substances accréditées selon ISO 17025"]
["Laboratoire national de santé - 1, rue Louis Rech - L-3555 Dudelange - Tel: +352 28100 601 Fax: +352 28100 602 - email: hmsb@lns.etat.lu             Resp. Dr Georges Dahm"]