VERIDIA
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Delivery docket
SO-26-01299
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 Dubbo
UPA Central West
Dubbo NSW 2830
Attn: Craig Ellery
Account
UPA01
Terms 30 days
Your PO: UPA-69337
Rep: Priya Selvaraj
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 |
|---|---|---|---|---|---|
| WJ-1068 | Soap Dispenser 1L Bulk Fill White | 1 | 12 | $30.90 | $370.80 |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 9 | $429.90 | $3,869.10 |
| WJ-1038 | Jumbo Toilet Roll 500m 1ply | 6 x 500m | 2 | $64.90 | $129.80 |
| CH-2280 | Laundry Powder Commercial 15kg | 1 x 15kg | 15 | $88.10 | $1,321.50 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 8 | $45.20 | $361.60 |
| CH-2244 | Chlorine Sanitiser 12.5% 20L [DG 8 UN1791] | 1 x 20L | 5 | $66.10 | $330.50 |
| BD-6038 | Melamine Plate Non-Slip Aged Care 230mm | 1 x 12 | 14 | $163.90 | $2,294.60 |
| CH-2214 | Multi-Purpose Neutral Detergent 5L | 2 x 5L | 11 | $40.70 | $447.70 |
| HP-3052 | Rubber Glove Household Yellow Medium | 12 pr | 4 | $52.90 | $211.60 |
| FP-4086 | Straw Paper Wrapped 8mm Black | 20 x 250 | 1 | $96.80 | $96.80 |
| Goods ex GST | $9,434.00 |
| GST 10% | $943.40 |
| Total inc GST | $10,377.40 |
81
2
679 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-26-01299 for UPA Dubbo. 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-2310 | Plug N Pump Wall Dosing Station 4-Way Irritant | SDS-CH-2310-R2 | 18 Oct 2023 | 17 Oct 2028 | Current |
| CH-2280 | Laundry Powder Commercial 15kg Irritant | SDS-CH-2280-R1 | 18 Dec 2020 | 18 Dec 2025 | Expired |
| CH-2244 | Chlorine Sanitiser 12.5% 20L Corrosive | SDS-CH-2244-R2 | 19 Aug 2021 | 19 Aug 2026 | Expiring |
| CH-2214 | Multi-Purpose Neutral Detergent 5L Irritant | SDS-CH-2214-R5 | 14 Jun 2021 | 14 Jun 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.