VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-01003
Veridia Australia Pty Ltd
ABN 63 004 217 508
6 Kane Rd, Bomen NSW 2650
(02) 6931 7700 · we.care@veridia.com.au
Deliver to
Leeton Soldiers Club
Leeton Soldiers Club
Leeton NSW 2705
Attn: Matt Fasolo
Account
LEE01
Terms 14 days
Your PO: —
Rep: Beau Harrington
Delivery
Mon 1 Jun
Not yet allocated to a run
Dangerous goods — Class 8
Segregate per the ADG Code. Safety data sheets for every hazardous line are attached to this docket. Driver must hold a current dangerous goods certificate.
| Item code | Description | Pack | Qty | Unit | Amount |
|---|---|---|---|---|---|
| FP-4082 | Napkin 2ply Dinner White 1/8 Fold | 10 x 250 | 6 | $93.70 | $562.20 |
| FP-4032 | Dispensary Cup Lid 30ml | 20 x 100 | 3 | $46.30 | $138.90 |
| CH-2340 | Floor Stripper Heavy Duty 5L [DG 8 UN1824] | 2 x 5L | 16 | $97.20 | $1,555.20 |
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 13 | $125.40 | $1,630.20 |
| Goods ex GST | $3,886.50 |
| GST 10% | $388.65 |
| Total inc GST | $4,275.15 |
38
1
528 kg
Received in good order by
Print name
Signature
Date & time
Date
Any shortages or damage noted here
Safety data sheet summary
Attached to SO-26-01003 for Leeton Soldiers Club. Full sheets travel with the consignment and are held on the site chemical register. Reviewed at least every five years under WHS Regulation 344.
| Item | Product | Sheet | Issued | Review due | Status |
|---|---|---|---|---|---|
| CH-2340 | Floor Stripper Heavy Duty 5L Corrosive | SDS-CH-2340-R2 | 2 Jul 2021 | 2 Jul 2026 | Expired |
| CH-2284 | Laundry Emulsifier 20L Corrosive | SDS-CH-2284-R5 | 17 Jul 2022 | 17 Jul 2027 | Current |
Poisons Information Centre 13 11 26. Emergency (Veridia, 24 hours) 1300 228 222.
Veridia Australia Pty Ltd · ABN 63 004 217 508 · 14 Gateway Cres, Wacol QLD 4076 · 1300 228 222 · veridia.com.au
Goods remain the property of Veridia Australia Pty Ltd until paid in full. Claims for shortage or damage must be noted on
this docket at the time of delivery.