VERIDIA
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Delivery docket
SO-26-01300
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-86908
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-3082 | Beard Cover White | 10 x 100 | 15 | $34.90 | $523.50 |
| WJ-1122 | Sponge Scourer Non-Scratch | 10 | 2 | $10.90 | $21.80 |
| FP-4040 | Paper Bag Flat #4 Brown | 10 x 500 | 9 | $60.50 | $544.50 |
| CH-2286 | Laundry Sour / Neutraliser 20L [DG 8 UN1805] | 1 x 20L | 12 | $96.50 | $1,158.00 |
| CH-2246 | Quaternary Sanitiser Food Grade 5L [DG 8 UN1760] | 2 x 5L | 11 | $77.10 | $848.10 |
| HP-3050 | Poly Glove HDPE Food Handling | 20 x 500 | 14 | $37.20 | $520.80 |
| WJ-1022 | Continuous Roll Towel Blue 300m | 4 x 300m | 5 | $66.20 | $331.00 |
| FP-4010 | Foam Container 3 Compartment Hinged | 4 x 125 | 8 | $60.10 | $480.80 |
| WJ-1102 | Mop Head Microfibre Flat 40cm | 1 | 7 | $20.90 | $146.30 |
| FP-4080 | Napkin 1ply Lunch White 1/4 Fold | 20 x 500 | 10 | $83.10 | $831.00 |
| FP-4022 | Plastic Tray Black PP 5 Compartment | 5 x 100 | 4 | $105.20 | $420.80 |
| Goods ex GST | $5,826.60 |
| GST 10% | $582.66 |
| Total inc GST | $6,409.26 |
97
2
855 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-26-01300 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-2286 | Laundry Sour / Neutraliser 20L Corrosive | SDS-CH-2286-R3 | 9 May 2024 | 9 May 2029 | Current |
| CH-2246 | Quaternary Sanitiser Food Grade 5L Corrosive | SDS-CH-2246-R5 | 3 Feb 2026 | 3 Feb 2031 | 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.