VERIDIA
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Delivery docket
SO-26-01103
Veridia Australia Pty Ltd
ABN 63 004 217 508
9 Stanton Rd, Ingleburn NSW 2565
(02) 9605 3300 · we.care@veridia.com.au
Deliver to
Weeroona Bass Hill
The Salvation Army Aged Care
Bass Hill NSW 2197
Attn: Nola Frampton
Account
TSA01
Terms 45 days EOM
Your PO: TSA-81217
Rep: Priya Selvaraj
Delivery
Wed 3 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 |
|---|---|---|---|---|---|
| BD-6038 | Melamine Plate Non-Slip Aged Care 230mm | 1 x 12 | 12 | $163.90 | $1,966.80 |
| CH-2214 | Multi-Purpose Neutral Detergent 5L | 2 x 5L | 9 | $40.60 | $365.40 |
| BD-6010 | Tumbler Tempered 285ml | 1 x 72 | 2 | $132.90 | $265.80 |
| HP-3082 | Beard Cover White | 10 x 100 | 15 | $34.90 | $523.50 |
| FP-4052 | Greaseproof Paper Sheets 400x330 | 1 x 800 | 8 | $66.00 | $528.00 |
| HP-3054 | Rubber Glove Heavy Duty Green Large | 12 pr | 5 | $66.90 | $334.50 |
| FP-4026 | Bagasse Plate 230mm Compostable | 10 x 50 | 14 | $88.70 | $1,241.80 |
| HP-3014 | Nitrile Glove Powder Free Blue Large | 10 x 200 | 11 | $87.90 | $966.90 |
| WJ-1104 | Mop Handle Aluminium 1500mm | 1 | 4 | $24.60 | $98.40 |
| CH-2346 | Drain Cleaner Caustic 5L [DG 8 UN1824] | 2 x 5L | 1 | $77.30 | $77.30 |
| Goods ex GST | $6,368.40 |
| GST 10% | $636.84 |
| Total inc GST | $7,005.24 |
81
2
518 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-26-01103 for Weeroona Bass Hill. 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-2214 | Multi-Purpose Neutral Detergent 5L Irritant | SDS-CH-2214-R5 | 14 Jun 2021 | 14 Jun 2026 | Expired |
| CH-2346 | Drain Cleaner Caustic 5L Corrosive | SDS-CH-2346-R1 | 4 Sep 2022 | 4 Sep 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.