VERIDIA
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Delivery docket
SO-26-01371
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 Molong
UPA Central West
Molong NSW 2866
Attn: Robyn Guest
Account
UPA01
Terms 30 days
Your PO: -
Rep: Priya Selvaraj
Delivery
Mon 15 Jun
Not yet allocated to a run
Dangerous goods: Class 3, 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 |
|---|---|---|---|---|---|
| BD-6040 | Melamine Bowl Scoop Aged Care | 1 x 12 | 6 | $150.90 | $905.40 |
| CH-2216 | Bathroom Cleaner Acidic 5L [DG 8 UN1805] | 2 x 5L | 3 | $51.90 | $155.70 |
| WJ-1012 | Compact Hand Towel 90 sheet | 24 x 90 sht | 16 | $44.40 | $710.40 |
| CH-2246 | Quaternary Sanitiser Food Grade 5L [DG 8 UN1760] | 2 x 5L | 13 | $77.10 | $1,002.30 |
| WJ-1040 | Mini Jumbo Toilet Roll 200m | 12 x 200m | 10 | $54.60 | $546.00 |
| CH-2282 | Laundry Liquid Commercial 20L | 1 x 20L | 7 | $105.30 | $737.10 |
| WJ-1070 | Sanitiser Dispenser Auto Sensor 1L | 1 | 4 | $119.90 | $479.60 |
| CH-2312 | Plug N Pump Spray Bottle & Trigger Set | 6 | 1 | $35.90 | $35.90 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 14 | $167.10 | $2,339.40 |
| WJ-1136 | Squeegee Floor 600mm with Handle | 1 | 11 | $57.90 | $636.90 |
| FP-4042 | Paper Bag SOS #8 Brown Handled | 5 x 250 | 7 | $82.70 | $578.90 |
| WJ-1154 | Urinal Screen Deodoriser 30 Day | 10 | 10 | $52.40 | $524.00 |
| Goods ex GST | $8,651.60 |
| GST 10% | $865.16 |
| Total inc GST | $9,516.76 |
102
3
822 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-26-01371 for UPA Molong. 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-2216 | Bathroom Cleaner Acidic 5L Corrosive | SDS-CH-2216-R2 | 28 Aug 2021 | 28 Aug 2026 | Expiring |
| CH-2246 | Quaternary Sanitiser Food Grade 5L Corrosive | SDS-CH-2246-R5 | 3 Feb 2026 | 3 Feb 2031 | Current |
| CH-2282 | Laundry Liquid Commercial 20L Irritant | SDS-CH-2282-R4 | 11 Oct 2022 | 11 Oct 2027 | Current |
| CH-2312 | Plug N Pump Spray Bottle & Trigger Set Irritant | SDS-CH-2312-R4 | 25 Dec 2021 | 25 Dec 2026 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 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.