VERIDIA
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Delivery docket
SO-26-01304
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
St Hedwig Blacktown
Catholic Healthcare Ltd
Blacktown NSW 2148
Attn: Ursula Kaminski
Account
CAT01
Terms 45 days EOM
Your PO: CAT-67687
Rep: Priya Selvaraj
Delivery
Thu 11 Jun
Not yet allocated to a run
Dangerous goods: Class 2.1, 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 |
|---|---|---|---|---|---|
| FP-4046 | Cling Film 45cm x 600m Cutter Box | 4 | 14 | $102.90 | $1,440.60 |
| HP-3044 | Vinyl Glove Powder Free Clear Large | 10 x 100 | 11 | $48.80 | $536.80 |
| FP-4082 | Napkin 2ply Dinner White 1/8 Fold | 10 x 250 | 8 | $93.70 | $749.60 |
| HP-3076 | P2 Respirator Cup Shape Valved | 12 x 20 | 5 | $243.30 | $1,216.50 |
| BD-6032 | Side Plate Vitrified White 180mm | 1 x 36 | 2 | $199.90 | $399.80 |
| HP-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 15 | $60.50 | $907.50 |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L | 2 x 5L | 12 | $119.40 | $1,432.80 |
| WJ-1114 | Microfibre Cloth 40x40 Red | 10 | 9 | $16.40 | $147.60 |
| FP-4012 | Foam Container Burger Clam Large | 4 x 125 | 6 | $54.90 | $329.40 |
| WJ-1150 | Air Freshener Aerosol Metered 270ml [DG 2.1 UN1950] | 12 x 270ml | 3 | $96.90 | $290.70 |
| Goods ex GST | $7,451.30 |
| GST 10% | $745.13 |
| Total inc GST | $8,196.43 |
85
2
621 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-26-01304 for St Hedwig Blacktown. 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 |
|---|---|---|---|---|---|
| HP-3100 | Alcohol Wipes Sachet 70% IPA Flammable liquid | SDS-HP-3100-R2 | 15 Jan 2025 | 15 Jan 2030 | Current |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L Irritant | SDS-CH-2326-R4 | 1 Sep 2023 | 31 Aug 2028 | Current |
| WJ-1150 | Air Freshener Aerosol Metered 270ml Flammable gas · Gas under pressure | SDS-WJ-1150-R5 | 25 Sep 2021 | 25 Sep 2026 | Expiring |
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.