VERIDIA
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Delivery docket
SO-26-01238
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
Orange Aquatic Centre
Orange City Council
Orange NSW 2800
Attn: Centre Manager
Account
OCC01
Terms 30 days
Your PO: OCC-76595
Rep: Nadia Kostoglou
Delivery
Tue 9 Jun
Not yet allocated to a run
Dangerous goods: Class 3
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 |
|---|---|---|---|---|---|
| HP-3042 | Vinyl Glove Powder Free Clear Medium | 10 x 100 | 10 | $48.80 | $488.00 |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 | 6 x 200 | 7 | $130.40 | $912.80 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 4 | $167.10 | $668.40 |
| WJ-1018 | Roll Hand Towel 80m Autocut | 16 x 80m | 1 | $67.20 | $67.20 |
| HP-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 6 | $60.50 | $363.00 |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 3 | $429.90 | $1,289.70 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 16 | $49.10 | $785.60 |
| WJ-1084 | Bin Liner 240L Black Heavy Duty | 5 x 50 | 13 | $96.90 | $1,259.70 |
| Goods ex GST | $5,834.40 |
| GST 10% | $583.44 |
| Total inc GST | $6,417.84 |
60
2
527 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-26-01238 for Orange Aquatic Centre. 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-2242 | Hospital Grade Disinfectant Wipes 200 Irritant | SDS-CH-2242-R4 | 25 Dec 2023 | 24 Dec 2028 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 2030 | Current |
| HP-3100 | Alcohol Wipes Sachet 70% IPA Flammable liquid | SDS-HP-3100-R2 | 15 Jan 2025 | 15 Jan 2030 | 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.