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["　　(V1-3様式)",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,"排出ｶﾞｽ",null,null,null,null,"№"]
[null,"自 動 車 排 出 ガ ス 及 び 騒 音 等 試 験 用 諸 元 表",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,"加速騒音",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"VIA　2025.07"]
["試 験 依 頼 者 名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"輸 入 者 名"]
["諸元表\n作成者",null,null,"会 社 名",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,"担 当 者"]
[null,null,null,"住　   所",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,"電話番号"]
[null,null,null,"ﾒｰﾙｱﾄﾞﾚｽ",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,"携帯電話"]
["※　以下の項目は試験実施の際に使用する数値も含まれ、試験実施後の訂正はできない場合があります。十分確認のうえご記入下さい。"]
[]
["１．試 験 自 動 車 諸 元 表",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"試験自動車製作者名称"]
["車　　　　名",null,null,null,null,null,null,"型　　　式",null,null,null,null,null,null,"車　台　番　号（シ　リ　ア　ル　番　号）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"用　途",null,null,null,null,null,null,"形　状"]
[]
["車　両　重　量 (*1)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"kg","使用燃料",null,null,null,null," 無鉛ｶﾞｿﾘﾝ ",null,null,null,null," 軽油",null,null," その他（",null,null,null,null,null,null,null,"）"]
["WLTC用記入欄\n(指定自動車/★非認証貨物等必須）",null,null,null,null,null,null,null,null,"★技術的最大許容質量",null,null,null,null,null,null,null,null,null,null,null,"kg","過給機の有無",null,null,null,null,null,null,null,null,null,"有",null,"（",null,null,"個）",null,"・",null,null,"無"]
[null,null,null,null,null,null,null,null,null,"非積載重量 (*2)",null,null,null,null,null,null,null,null,null,null,null,"kg","給気冷却機の有無",null,null,null,null,null,null,null,null,null,"有",null,"（",null,null,"個）",null,"・",null,null,"無"]
[null,null,null,null,null,null,null,null,null,"最大オプション重量",null,null,null,null,null,null,null,null,null,null,null,"kg","変 速 機",null,null,null,null,null,null,null,null,null,"手動",null,null,null,"自動",null,"前進",null,null,null,"段"]
["乗車定員及び最大積載量",null,null,null,null,null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,"kg","変速機タイプ",null,null,null,null,null,null,null,null,"機械式",null,null,"油圧式",null,null,"電気式",null,null,"その他"]
["原動機型式",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"変速機のｷﾞｱ比",null,null,null,null,null,null,null,"１速",null,null,null,null,null,null,"７速"]
["原動機作動方式",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　・WHTC、JE05Mは必須。\n　・WLTC、加速騒音のM/T\n    の場合にはご記入下さい。",null,null,null,null,null,null,null,"２速",null,null,null,null,null,null,"８速"]
["気筒数及び総排気量",null,null,null,null,null,null,null,null,null,null,null,null,"気筒",null,null,null,null,null,null,"L",null,null,null,null,null,null,null,null,null,"３速",null,null,null,null,null,null,"９速"]
["原動機最高出力",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,"４速",null,null,null,null,null,null,"１０速"]
["原動機最大ﾄﾙｸ",null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,"/",null,null,null,"　※協定規則第51号試験は\n　   CVT、A/Tの場合もご記\n　　 入下さい。(*3)",null,null,null,null,null,null,null,"５速",null,null,null,null,null,null,"１１速"]
["モーター最高出力",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,"６速",null,null,null,null,null,null,"１２速"]
["モーター最大ﾄﾙｸ",null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,"/",null,null,null,"最終減速比"]
["燃焼室型式（圧縮比）",null,null,null,null,null,null,null,"直噴式",null,null,"・",null,"副室式",null,null,"（",null,null,null,null,"）","駆 動 輪",null,null,null,null,null,null,null,null,"前輪",null,null,"・",null,"後輪",null,null,"・",null,"全輪"]
["燃料供給方式及び個数",null,null,null,null,null,null,null,"噴射式",null,null,"・",null,"  ｷｬﾌﾞﾚｰﾀ式",null,null,null,"（",null,null,"個","）","ﾀｲﾔｻｲｽﾞ",null,null,null,null,null,null,null,"前輪"]
["点火・噴射時期",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,"後輪"]
["無負荷回転数",null,null,null,null,null,"Ｎ",null,"Ｄ",null,"Ｐ",null,null,null,null,"±",null,null,null,null,null,null,"駆動輪ﾀｲﾔ有効半径",null,null,null,null,null,null,null,"WHTC、JE05、騒音時記入",null,null,null,null,null,null,null,null,null,null,null,null,"m"]
["試験自動車\n寸法",null,null,null,null,"長 さ",null,null,null,"幅",null,null,null,"高 さ",null,null,null,"ﾎｲｰﾙﾍﾞｰｽ",null,null,null,null,"ﾀｲﾔ空気圧\nkPa（kg/cm2）",null,null,null,null,null,null,null,"標","前輪",null,null,null,null,null,"実測",null,null,"F"]
[null,null,null,null,null,null,null,null,"m",null,null,null,"m",null,null,null,"m",null,null,null,null,"m",null,null,null,null,null,null,null,null,"準","後輪",null,null,null,null,null,"記入不要",null,null,"R"]
["協定規則第51号試験のみ記入",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"騒音カテゴリ",null,null,null,null,null,null,null,null,null,null,null,null,"過回転防止装置"]
[]
["*1","車両重量は、空車状態の自動車に燃料満量、油脂、冷却水を適正量とし、ｽﾍﾟｱﾀｲﾔ、工具類は取り除いて計量を行って下さい。(WLTCモードの非積載重量とは異なります。)"]
["*2","WLTC用（非積載重量は、乗員が乗車せず、かつ、燃料満量（90%）、冷却水、潤滑油、工具、連結装置及びｽﾍﾟｱﾀｲﾔが搭載された重量）"]
["*3","ギア比が固定されず連続して変化する場合（CVT等）は、１速の欄に 〇.〇〇〇 ～ △.△△△ とご記入下さい。"]
["２．一 酸 化 炭 素 等 発 散 防 止 装 置 等"]
["種　類",null,null,"三元触媒",null,null,null,null,"酸化触媒",null,null,null,null,"三元酸化触媒",null,null,null,null,"SCR触媒",null,null,null,null,"NOx吸蔵還元触媒",null,null,null,null,null,"D P F",null,null,null,null,"ｴｱﾎﾟﾝﾌﾟ",null,null,null,null,"ﾘｰﾄﾞﾊﾞﾙﾌﾞ"]
[null,null,null,"  （　　　",null,null,"個）",null,"  （　　　",null,null,"個）",null,"  （　　　",null,null,"個）",null,"  （　　　",null,null,"個）",null,"  （　　　",null,null,null,"個）",null,"  （　　　",null,null,"個）",null,"  （　　　",null,null,"個）",null,"  （　　　",null,null,"個）"]
["製作者"]
["種　類",null,null,"E G R",null,null,null,null,"O2ｾﾝｻｰ",null,null,null,null,"NOxｾﾝｻｰ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"消音器（騒音試験時記入）"]
[null,null,null,"  （　　　",null,null,"個）",null,"  （　　　",null,null,"個）",null,"  （　　　",null,null,"個）",null,"  （　　　",null,null,"個）",null,null,null,null,"  （　　　",null,null,null,"個）",null,null,null,"  （　　　",null,null,"個）",null,"内蔵触媒の有無"]
["製作者"]
[]
["*","一酸化炭素等発散防止対策が試験自動車の自動車ﾒｰｶｰにおいて実施（装着）されている場合は、製作者欄に「ﾒｰｶｰ純正」とご記入いただき、"]
[null,"後付及び異なるものへ交換を行なっている場合は製作者の名称をご記入下さい。"]
["*","改造車で試験を行う場合には改造後の諸元をご記入下さい。なお、車両重量、自動車の幅、高さについては試験後訂正が行えません。"]
[null,"その他の諸元についても資料等による説明がない場合、原則訂正が出来ませんのでご注意下さい。"]
["３．改  造  内  容（試験自動車が改造車の場合ご記入下さい。なお、記入欄が足りない場合には別紙による説明をお願いいたします。）"]
["改造部位",null,null,null,null,"箇　所",null,null,"燃料供給系、吸気系、排気系、原動機系、変速機系、その他　（　　　　　　　　　　　　　　　　　　　　　　）"]
[null,null,null,null,null,"内　容"]
["消音器等",null,null,null,null,"品　　　　　　　名",null,null,null,null,null,null,null,null,null,null,null,null,"製　　　作　　　者",null,null,null,null,null,null,null,null,null,null,null,null,"製　品　番　号"]
[]
[]
["４．車 台 番 号 （ ｼ ﾘ ｱ ﾙ 番 号 ） の 拓 本 貼 付 欄（車台番号（ｼﾘｱﾙ番号）打刻様式の説明を併記）",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,null,null,null,null,null,null,"ＶＩＡ記入欄"]
[]
[]
[]
["     当該打刻されている番号（記号、符号を含む）全てご記入下さい。（O（ｵｰ）と0（ｾﾞﾛ）等ご注意下さい。）"]