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Dİ.FR.004 - DİYALİZ SU SİSTEMİ TAKİP FORMU

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Doküman Kodu: Dİ.FR.004

Yayın Tarihi: 14.05.2025

Revizyon Tarihi: -

Revizyon No: -

Sayfa: Otomatik

	HAM SU	SAF SU ÜNİTESİ
TARİH	PH	SERTLİK	KLOR	PH	İLETKENLİK	İMZA
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<meta charset="utf-8"/>
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   <p style="text-align:center"> </p>
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   <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; vertical-align:bottom; width:92px">
   <p style="text-align:center"><span style="font-size:10pt"><strong><span style="color:#000000">HAM SU</span></strong></span></p>
   </td>
   <td colspan="3" style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; vertical-align:bottom; width:288px">
   <p style="text-align:center"><span style="font-size:10pt"><strong><span style="color:#000000">SAF SU ÜNİTESİ</span></strong></span></p>
   </td>
   <td colspan="2" style="border-bottom:none; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; vertical-align:top; width:204px">
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   <p style="text-align:center"><span style="font-size:10pt"><strong><span style="color:#000000">TARİH</span></strong></span></p>
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   <p style="text-align:center"><span style="font-size:10pt"><strong><span style="color:#000000">PH</span></strong></span></p>
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   <p style="text-align:center"><span style="font-size:10pt"><strong><span style="color:#000000">SERTLİK</span></strong></span></p>
   </td>
   <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:92px">
   <p style="text-align:center"><span style="font-size:10pt"><strong><span style="color:#000000">KLOR</span></strong></span></p>
   </td>
   <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:79px">
   <p style="text-align:center"><span style="font-size:10pt"><strong><span style="color:#000000">PH</span></strong></span></p>
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   <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:100px">
   <p style="text-align:center"><span style="font-size:10pt"><strong><span style="color:#000000">İLETKENLİK</span></strong></span></p>
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   <td style="border-bottom:none; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; width:90px">
   <p style="text-align:center"><span style="font-size:10pt"><strong><span style="color:#000000">İMZA</span></strong></span></p>
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   <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:11px; width:88px">
   <p style="text-align:justify"><span style="font-size:10pt"><strong><span style="color:#000000">/ / </span></strong></span></p>
   </td>
   <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:92px">
   <p> </p>
   </td>
   <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:88px">
   <p> </p>
   </td>
   <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:92px">
   <p> </p>
   </td>
   <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:79px">
   <p> </p>
   </td>
   <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:100px">
   <p> </p>
   </td>
   <td style="border-bottom:none; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; width:90px">
   <p> </p>
   </td>
  </tr>
 </tbody>
</table>