VERIDIA
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Delivery docket
SO-26-01140
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
Elizabeth Jenkins Collaroy
The Salvation Army Aged Care
Collaroy NSW 2097
Attn: Barry Wills
Account
TSA01
Terms 45 days EOM
Your PO: TSA-97696
Rep: Priya Selvaraj
Delivery
Fri 5 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 |
|---|---|---|---|---|---|
| WJ-1066 | Toilet Roll Dispenser Twin ABS | 1 | 11 | $44.90 | $493.90 |
| CH-2270 | Glasswash Detergent 20L [DG 8 UN1824] | 1 x 20L | 14 | $130.60 | $1,828.40 |
| WJ-1102 | Mop Head Microfibre Flat 40cm | 1 | 5 | $20.90 | $104.50 |
| CH-2308 | Plug N Pump Degreaser 1.5L [DG 8 UN1719] | 4 x 1.5L | 8 | $125.40 | $1,003.20 |
| WJ-1130 | Broom Head Soft Bristle 450mm | 1 | 15 | $28.40 | $426.00 |
| CH-2344 | Floor Polish High Solids 5L | 2 x 5L | 2 | $121.60 | $243.20 |
| HP-3010 | Nitrile Glove Powder Free Blue Small | 10 x 200 | 9 | $87.90 | $791.10 |
| FP-4022 | Plastic Tray Black PP 5 Compartment | 5 x 100 | 12 | $105.20 | $1,262.40 |
| HP-3050 | Poly Glove HDPE Food Handling | 20 x 500 | 3 | $37.20 | $111.60 |
| Goods ex GST | $6,264.30 |
| GST 10% | $626.43 |
| Total inc GST | $6,890.73 |
79
2
636 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-26-01140 for Elizabeth Jenkins Collaroy. 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-2270 | Glasswash Detergent 20L Corrosive | SDS-CH-2270-R5 | 23 Mar 2024 | 23 Mar 2029 | Current |
| CH-2308 | Plug N Pump Degreaser 1.5L Corrosive | SDS-CH-2308-R4 | 10 Sep 2025 | 10 Sep 2030 | Current |
| CH-2344 | Floor Polish High Solids 5L Irritant | SDS-CH-2344-R3 | 24 Jan 2026 | 24 Jan 2031 | 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.