VERIDIA
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Delivery docket
SO-26-01253
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
Maitland Hospital
Hunter New England Health
Metford NSW 2323
Attn: Stores
Account
HNE01
Terms 45 days EOM
Your PO: HNE-90956
Rep: Nadia Kostoglou
Delivery
Thu 11 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 |
|---|---|---|---|---|---|
| HP-3064 | Disposable Apron Polythene White | 10 x 100 | 7 | $54.90 | $384.30 |
| WJ-1106 | Mop Bucket & Wringer 15L Yellow | 1 | 10 | $104.90 | $1,049.00 |
| FP-4020 | Meal Delivery Tray Sealable 3 Comp | 4 x 125 | 1 | $144.40 | $144.40 |
| CH-2260 | Machine Dishwash Powder 10kg [DG 8 UN3253] | 1 x 10kg | 4 | $68.60 | $274.40 |
| CH-2222 | Glass & Mirror Cleaner 5L Refill | 2 x 5L | 3 | $37.20 | $111.60 |
| HP-3016 | Nitrile Glove Powder Free Blue XL | 10 x 200 | 6 | $87.90 | $527.40 |
| FP-4084 | Napkin 2ply Dinner Black | 10 x 250 | 13 | $102.70 | $1,335.10 |
| CH-2330 | ELIMO Carpet Spotter 750ml | 12 x 750ml | 16 | $88.10 | $1,409.60 |
| CH-2292 | Laundry Stain Remover Spotting Kit [DG 8 UN1760] | 1 kit | 15 | $236.90 | $3,553.50 |
| Goods ex GST | $8,789.30 |
| GST 10% | $878.93 |
| Total inc GST | $9,668.23 |
75
2
646 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-26-01253 for Maitland Hospital. 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-2260 | Machine Dishwash Powder 10kg Corrosive | SDS-CH-2260-R1 | 3 Nov 2023 | 2 Nov 2028 | Current |
| CH-2222 | Glass & Mirror Cleaner 5L Refill Irritant | SDS-CH-2222-R2 | 8 Oct 2023 | 7 Oct 2028 | Current |
| CH-2330 | ELIMO Carpet Spotter 750ml Irritant | SDS-CH-2330-R5 | 11 Feb 2025 | 11 Feb 2030 | Current |
| CH-2292 | Laundry Stain Remover Spotting Kit Corrosive | SDS-CH-2292-R4 | 3 Feb 2021 | 3 Feb 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.