VERIDIA
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Delivery docket
SO-26-01237
Veridia Australia Pty Ltd
ABN 63 004 217 508
14 Gateway Cres, Wacol QLD 4076
(07) 3271 4400 · we.care@veridia.com.au
Deliver to
RSL Tweed Heads
RSL LifeCare
Tweed Heads NSW 2485
Attn: Bev Rowntree
Account
RSL01
Terms 45 days EOM
Your PO: RSL-88309
Rep: Priya Selvaraj
Delivery
Tue 9 Jun
Not yet allocated to a run
Dangerous goods: Class 3, 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-2304 | Plug N Pump Glass Cleaner 1.5L | 4 x 1.5L | 16 | $108.40 | $1,734.40 |
| WJ-1090 | Sanitary Disposal Bag Opaque | 20 x 100 | 13 | $37.90 | $492.70 |
| CH-2264 | Dishwash Rinse Aid 20L [DG 8 UN1805] | 1 x 20L | 6 | $110.60 | $663.60 |
| WJ-1062 | Hand Towel Dispenser Autocut Roll | 1 | 3 | $74.90 | $224.70 |
| FP-4018 | Dual Ovenable Tray 2 Compartment | 4 x 125 | 4 | $124.90 | $499.60 |
| WJ-1156 | Toilet Bowl Clip Deodoriser | 12 | 1 | $44.90 | $44.90 |
| CH-2340 | Floor Stripper Heavy Duty 5L [DG 8 UN1824] | 2 x 5L | 10 | $97.20 | $972.00 |
| WJ-1120 | Scourer Pad Green Heavy Duty 150mm | 10 | 7 | $13.20 | $92.40 |
| HP-3076 | P2 Respirator Cup Shape Valved | 12 x 20 | 8 | $243.30 | $1,946.40 |
| BD-6032 | Side Plate Vitrified White 180mm | 1 x 36 | 5 | $199.90 | $999.50 |
| WJ-1042 | Compact Coreless Toilet Tissue 850 sht | 36 x 850 sht | 5 | $88.90 | $444.50 |
| CH-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 8 | $88.10 | $704.80 |
| Goods ex GST | $8,819.50 |
| GST 10% | $881.95 |
| Total inc GST | $9,701.45 |
86
2
761 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-26-01237 for RSL Tweed Heads. 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-2304 | Plug N Pump Glass Cleaner 1.5L Irritant | SDS-CH-2304-R1 | 22 Mar 2025 | 22 Mar 2030 | Current |
| CH-2264 | Dishwash Rinse Aid 20L Corrosive | SDS-CH-2264-R2 | 6 Apr 2022 | 6 Apr 2027 | Current |
| CH-2340 | Floor Stripper Heavy Duty 5L Corrosive | SDS-CH-2340-R2 | 2 Jul 2021 | 2 Jul 2026 | Expired |
| CH-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 2026 | 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.