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    <title>湖北智慧水运</title>
	
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input[type=color], input[type=date], input[type=datetime-local], input[type=datetime], input[type=email], input[type=month], input[type=number], input[type=password], input[type=search], input[type=tel], input[type=text], input[type=time], input[type=url], input[type=week], select, textarea {margin-bottom: 0px;
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  <body >
  		<header class="header">
		<a  href="#">单船吞吐量申报申请</a>
	</header>
	<div class="mui-content" style="padding-left: 10px;padding-right: 10px;background: white;margin-top: 70px;padding-bottom: 30px">
<h5 class="mui-content-padded">编号</h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" placeholder="" value="ZJ201507190004">
	</div>
	
	<h5 class="mui-content-padded">所在地<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
		<div class="mui-input-row mui-select" >
			<select id="zuming">
			<option>镇江</option>
                    </select>
		</div>

<h5 class="mui-content-padded">港口经营人名称<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
		<div class="mui-input-row mui-select" >
			<select id="zuming">
			<option>江苏索普(集团)有限公司</option>
                    </select>
		</div>
		
		
		
		
			<h5 class="mui-content-padded">所在港区<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
		<div class="mui-input-row mui-select" >
			<select id="zuming">
			<option>谏壁港区</option>
                    </select>
		</div>
		
		<h5 class="mui-content-padded">船名/船队名<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" placeholder="" value="兴普007">
	</div>
	
	
	<h5 class="mui-content-padded">作业委托人<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" placeholder="" value="江苏索普(集团)有限公司">
	</div>
	
			<h5 class="mui-content-padded">是否船队</h5>
	<div class="mui-input-row mui-text"> <input type="checkbox" /> </div>
	
	<h5 class="mui-content-padded">航次</h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" placeholder="">
	</div>
	
	<h5 class="mui-content-padded">作业品名称<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" value="醋酸" placeholder="">
	</div>
	
		
	<h5 class="mui-content-padded">作业数量（吨）<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" value="305" placeholder="">
	</div>
	
	
	<h5 class="mui-content-padded">进出港<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
		<div class="mui-input-row mui-select" >
			<select id="zuming">
			<option>出港</option>
                    </select>
		</div>
	
		
	<h5 class="mui-content-padded">下港<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" placeholder="">
	</div>
	
	
	
	<h5 class="mui-content-padded">上港<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" placeholder="">
	</div>
	
	
		<h5 class="mui-content-padded">报告时间<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text" style="">
		<div style="position: absolute;right: 8px;z-index: 999;top: 4px">
		<img alt="" src="../image/rili.png" style="width: 30px;height: 30px">
		<img alt="" src="../image/qingchu.png" style="width: 30px;height: 30px">
		</div>
		<input type="text" class="mui-input-clear" placeholder="" value="2015-07-20 10:34:42">
	</div>
	
	<h5 class="mui-content-padded">作业方式<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" value="装船" placeholder="">
	</div>
	
	
		<h5 class="mui-content-padded">码头类别<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
		<div class="mui-input-row mui-select" >
			<select id="zuming">
			<option>公用码头</option>
                    </select>
		</div>
	
	<h5 class="mui-content-padded">内外贸<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
		<div class="mui-input-row mui-select" >
			<select id="zuming">
			<option>内贸</option>
                    </select>
		</div>
	
		<h5 class="mui-content-padded">现场管理负责人<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" placeholder="" value="高士海">
	</div>
	
	
	
	<h5 class="mui-content-padded">集装箱数量</h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" value="" placeholder="">
	</div>
	
	

	
	
	
			<h5 class="mui-content-padded">货物种类</h5>
		<div class="mui-input-row mui-text">
			<input type="checkbox" /> 煤炭&nbsp;&nbsp;<input type="checkbox" /> 钢铁&nbsp;&nbsp;<input type="checkbox" /> 液体化工&nbsp;&nbsp;<input type="checkbox" /> 集装箱&nbsp;&nbsp;
			<input type="checkbox" /> 粮食&nbsp;&nbsp;<input type="checkbox" /> 件杂货&nbsp;&nbsp;<input type="checkbox" /> 散货&nbsp;&nbsp;<input type="checkbox" /> 其他&nbsp;&nbsp;
		</div>
	
		<h5 class="mui-content-padded">货物形式</h5>
		<div class="mui-input-row mui-text">
			<input type="checkbox" /> 包件体&nbsp;&nbsp;<input type="checkbox" /> 中型散装容器&nbsp;&nbsp; 集装箱&nbsp;&nbsp;( <input type="checkbox" /> 20’&nbsp;&nbsp;<input type="checkbox" /> 40’&nbsp;&nbsp;<input type="checkbox" /> 45’&nbsp;&nbsp;<input type="checkbox" /> 特种箱 )&nbsp;&nbsp;
			<input type="checkbox" /> 槽罐车&nbsp;&nbsp;灌柜 ( <input type="checkbox" /> 20’&nbsp;&nbsp;<input type="checkbox" /> 40’ )&nbsp;&nbsp;<input type="checkbox" /> 其他&nbsp;&nbsp;
		</div>
	
	
			
	<h5 class="mui-content-padded">作业时间起<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
	<div style="position: absolute;right: 8px;z-index: 999;top: 4px">
		<img alt="" src="../image/rili.png" style="width: 30px;height: 30px">
		<img alt="" src="../image/qingchu.png" style="width: 30px;height: 30px">
		</div>
		<input type="text" class="mui-input-clear" placeholder="">
	</div>
	
		<h5 class="mui-content-padded">作业时间止<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
	<div style="position: absolute;right: 8px;z-index: 999;top: 4px">
		<img alt="" src="../image/rili.png" style="width: 30px;height: 30px">
		<img alt="" src="../image/qingchu.png" style="width: 30px;height: 30px">
		</div>
		<input type="text" class="mui-input-clear" placeholder="">
	</div>
	
		<h5 class="mui-content-padded">
		<input type="checkbox" class="" placeholder="">&nbsp;&nbsp;码头&nbsp;&nbsp;(泊位)&nbsp;&nbsp;
		
		
	</h5>
		<div class="mui-input-row mui-select" >
			<select id="zuming">
			<option>长江1#泊位</option>
                    </select>
		</div>
		
		
		<h5 class="mui-content-padded">作业地点<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" placeholder="">
	</div>
		
		
		<h5 class="mui-content-padded">报告人<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" placeholder="" value="超级管理员">
	</div>
	
	
		<h5 class="mui-content-padded">联系方式<img alt="" style="width: 12px;height: 12px;margin-top: -5px" src="../images/xinghua.png" /></h5>
	<div class="mui-input-row mui-text">
		<input type="text" class="mui-input-clear" placeholder="">
	</div>
		<div style="margin-top: 30px;text-align: center;">
			<button class="mui-btn mui-btn-positive" type="button" style="width: 20%;background: #2196f3;border: 0px;" id="wanchengyijian">保存</button>&nbsp;&nbsp;&nbsp;&nbsp;
			<button class="mui-btn mui-btn-positive" type="button" style="width: 20%;background: #2196f3;border: 0px;" id="quxiaoyijian">提交</button>&nbsp;&nbsp;&nbsp;&nbsp;
			<button class="mui-btn mui-btn-positive" type="button" style="width: 20%;background: #2196f3;border: 0px;" id="quxiaoyijian">关闭</button>
			
		</div>
	
	</div>
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