VERIDIA
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Delivery docket
SO-26-01235
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
UPA Orange
UPA Central West
Orange NSW 2800
Attn: Bev Antcliff
Account
UPA01
Terms 30 days
Your PO: UPA-62174
Rep: Priya Selvaraj
Delivery
Tue 9 Jun
Not yet allocated to a run
Dangerous goods: Class 2.1, 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-1062 | Hand Towel Dispenser Autocut Roll | 1 | 13 | $74.90 | $973.70 |
| CH-2264 | Dishwash Rinse Aid 20L [DG 8 UN1805] | 1 x 20L | 16 | $110.60 | $1,769.60 |
| WJ-1032 | Toilet Tissue 2ply 700 sheet | 48 x 700 sht | 3 | $78.90 | $236.70 |
| CH-2230 | Stainless Steel Polish Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 6 | $96.60 | $579.60 |
| WJ-1120 | Scourer Pad Green Heavy Duty 150mm | 10 | 1 | $13.20 | $13.20 |
| CH-2340 | Floor Stripper Heavy Duty 5L [DG 8 UN1824] | 2 x 5L | 4 | $97.20 | $388.80 |
| WJ-1090 | Sanitary Disposal Bag Opaque | 20 x 100 | 7 | $37.90 | $265.30 |
| Goods ex GST | $4,226.90 |
| GST 10% | $422.69 |
| Total inc GST | $4,649.59 |
50
2
556 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-26-01235 for UPA Orange. 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-2264 | Dishwash Rinse Aid 20L Corrosive | SDS-CH-2264-R2 | 6 Apr 2022 | 6 Apr 2027 | Current |
| CH-2230 | Stainless Steel Polish Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2230-R1 | 27 Apr 2022 | 27 Apr 2027 | Current |
| CH-2340 | Floor Stripper Heavy Duty 5L Corrosive | SDS-CH-2340-R2 | 2 Jul 2021 | 2 Jul 2026 | Expired |
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.