VERIDIA
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Delivery docket
SO-26-01331
Veridia Australia Pty Ltd
ABN 63 004 217 508
6 Kane Rd, Bomen NSW 2650
(02) 6931 7700 · we.care@veridia.com.au
Deliver to
Opal Wagga
Opal HealthCare NSW
Wagga Wagga NSW 2650
Attn: Rod Mulhearn
Account
OPL01
Terms 30 days
Your PO: OPL-51394
Rep: Priya Selvaraj
Delivery
Mon 15 Jun
Not yet allocated to a run
Dangerous goods: Class 2.1
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-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 9 | $49.10 | $441.90 |
| HP-3020 | Nitrile Glove Long Cuff Black Medium | 10 x 100 | 12 | $101.20 | $1,214.40 |
| FP-4032 | Dispensary Cup Lid 30ml | 20 x 100 | 15 | $46.30 | $694.50 |
| WJ-1138 | Dustpan & Brush Set Long Handle | 1 | 2 | $41.90 | $83.80 |
| CH-2352 | Chewing Gum Remover Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 5 | $136.60 | $683.00 |
| WJ-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 8 | $479.90 | $3,839.20 |
| CH-2322 | ELIMO Enzyme Digestant 5L | 2 x 5L | 11 | $111.40 | $1,225.40 |
| Goods ex GST | $8,182.20 |
| GST 10% | $818.22 |
| Total inc GST | $9,000.42 |
62
1
494 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-26-01331 for Opal Wagga. 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-2352 | Chewing Gum Remover Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2352-R3 | 21 Nov 2023 | 20 Nov 2028 | Current |
| CH-2322 | ELIMO Enzyme Digestant 5L Irritant | SDS-CH-2322-R3 | 30 Mar 2025 | 30 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.