VERIDIA
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Delivery docket
SO-26-01292
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-56912
Rep: Priya Selvaraj
Delivery
Fri 12 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-1062 | Hand Towel Dispenser Autocut Roll | 1 | 11 | $74.90 | $823.90 |
| CH-2264 | Dishwash Rinse Aid 20L [DG 8 UN1805] | 1 x 20L | 14 | $110.60 | $1,548.40 |
| WJ-1090 | Sanitary Disposal Bag Opaque | 20 x 100 | 5 | $37.90 | $189.50 |
| CH-2304 | Plug N Pump Glass Cleaner 1.5L | 4 x 1.5L | 8 | $108.40 | $867.20 |
| WJ-1120 | Scourer Pad Green Heavy Duty 150mm | 10 | 15 | $13.20 | $198.00 |
| Goods ex GST | $3,627.00 |
| GST 10% | $362.70 |
| Total inc GST | $3,989.70 |
53
2
419 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-26-01292 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-2264 | Dishwash Rinse Aid 20L Corrosive | SDS-CH-2264-R2 | 6 Apr 2022 | 6 Apr 2027 | Current |
| CH-2304 | Plug N Pump Glass Cleaner 1.5L Irritant | SDS-CH-2304-R1 | 22 Mar 2025 | 22 Mar 2030 | 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.