VERIDIA
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Delivery docket
SO-26-01314
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 Orange
UPA Central West
Orange NSW 2800
Attn: Bev Antcliff
Account
UPA01
Terms 30 days
Your PO: UPA-42959
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 |
|---|---|---|---|---|---|
| CH-2346 | Drain Cleaner Caustic 5L [DG 8 UN1824] | 2 x 5L | 6 | $77.30 | $463.80 |
| WJ-1132 | Broom Head Stiff Bristle 300mm | 1 | 3 | $23.40 | $70.20 |
| FP-4024 | Bagasse Bowl 500ml Compostable | 10 x 50 | 16 | $96.50 | $1,544.00 |
| HP-3012 | Nitrile Glove Powder Free Blue Medium | 10 x 200 | 13 | $80.60 | $1,047.80 |
| FP-4050 | Baking Paper 40cm x 100m | 4 | 10 | $88.10 | $881.00 |
| HP-3052 | Rubber Glove Household Yellow Medium | 12 pr | 7 | $52.90 | $370.30 |
| FP-4086 | Straw Paper Wrapped 8mm Black | 20 x 250 | 4 | $96.80 | $387.20 |
| HP-3080 | Hair Net Bouffant White 21" | 10 x 100 | 1 | $37.20 | $37.20 |
| CH-2214 | Multi-Purpose Neutral Detergent 5L | 2 x 5L | 14 | $40.70 | $569.80 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 11 | $48.90 | $537.90 |
| HP-3090 | Hand Soap Foaming 1L Pod Fragrance Free | 6 x 1L | 7 | $66.00 | $462.00 |
| BD-6016 | Wine Glass Stemmed 350ml | 1 x 24 | 10 | $115.90 | $1,159.00 |
| Goods ex GST | $7,530.20 |
| GST 10% | $753.02 |
| Total inc GST | $8,283.22 |
102
2
831 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-26-01314 for UPA Orange. 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-2346 | Drain Cleaner Caustic 5L Corrosive | SDS-CH-2346-R1 | 4 Sep 2022 | 4 Sep 2027 | Current |
| 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.