VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-01035
Veridia Australia Pty Ltd
ABN 63 004 217 508
42–46 Mitchell Hwy, Molong NSW 2866
(02) 6366 8100 · we.care@veridia.com.au
Deliver to
Grenfell Multi-Purpose Service
Grenfell Multi-Purpose Service
Grenfell NSW 2810
Attn: Chris Mulligan
Account
GRE01
Terms 45 days EOM
Your PO: —
Rep: Priya Selvaraj
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 |
|---|---|---|---|---|---|
| CH-2280 | Laundry Powder Commercial 15kg | 1 x 15kg | 5 | $88.10 | $440.50 |
| WJ-1038 | Jumbo Toilet Roll 500m 1ply | 6 x 500m | 8 | $64.90 | $519.20 |
| CH-2244 | Chlorine Sanitiser 12.5% 20L [DG 8 UN1791] | 1 x 20L | 11 | $66.10 | $727.10 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 14 | $48.90 | $684.60 |
| CH-2346 | Drain Cleaner Caustic 5L [DG 8 UN1824] | 2 x 5L | 9 | $77.30 | $695.70 |
| WJ-1104 | Mop Handle Aluminium 1500mm | 1 | 12 | $24.60 | $295.20 |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 15 | $429.90 | $6,448.50 |
| WJ-1068 | Soap Dispenser 1L Bulk Fill White | 1 | 2 | $30.90 | $61.80 |
| FP-4050 | Baking Paper 40cm x 100m | 4 | 13 | $88.10 | $1,145.30 |
| Goods ex GST | $11,017.90 |
| GST 10% | $1,101.79 |
| Total inc GST | $12,119.69 |
89
2
840 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-26-01035 for Grenfell Multi-Purpose Service. 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-2280 | Laundry Powder Commercial 15kg Irritant | SDS-CH-2280-R1 | 18 Dec 2020 | 18 Dec 2025 | Expired |
| CH-2244 | Chlorine Sanitiser 12.5% 20L Corrosive | SDS-CH-2244-R2 | 19 Aug 2021 | 19 Aug 2026 | Expiring |
| CH-2346 | Drain Cleaner Caustic 5L Corrosive | SDS-CH-2346-R1 | 4 Sep 2022 | 4 Sep 2027 | Current |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way Irritant | SDS-CH-2310-R2 | 18 Oct 2023 | 17 Oct 2028 | 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.