VERIDIA
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Delivery docket
SO-26-01377
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
Quest Campbelltown
Quest Apartment Hotels
Campbelltown NSW 2560
Attn: Josh Lantry
Account
QST01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Tue 16 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 |
|---|---|---|---|---|---|
| WJ-1040 | Mini Jumbo Toilet Roll 200m | 12 x 200m | 15 | $54.60 | $819.00 |
| BD-6056 | Cutlery Weighted Handle Aged Care Set | 1 set | 2 | $55.90 | $111.80 |
| CH-2300 | Plug N Pump Neutral Detergent 1.5L | 4 x 1.5L | 9 | $105.30 | $947.70 |
| WJ-1140 | Wet Floor Sign A-Frame Yellow | 1 | 12 | $30.90 | $370.80 |
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 11 | $246.90 | $2,715.90 |
| CA-7046 | Coffee Cup Carrier 4 Cup | 1 x 300 | 14 | $133.90 | $1,874.60 |
| HA-5016 | Body Lotion 30ml Tube Boxed | 1 x 400 | 5 | $215.90 | $1,079.50 |
| CH-2254 | Instrument Grade Disinfectant 5L [DG 8 UN1760] | 2 x 5L | 8 | $210.10 | $1,680.80 |
| BD-6022 | Glass Rack 25 Compartment | 1 | 7 | $71.90 | $503.30 |
| CH-2340 | Floor Stripper Heavy Duty 5L [DG 8 UN1824] | 2 x 5L | 10 | $97.20 | $972.00 |
| BD-6040 | Melamine Bowl Scoop Aged Care | 1 x 12 | 4 | $150.90 | $603.60 |
| Goods ex GST | $11,679.00 |
| GST 10% | $1,167.90 |
| Total inc GST | $12,846.90 |
97
2
761 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-26-01377 for Quest Campbelltown. 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-2300 | Plug N Pump Neutral Detergent 1.5L Irritant | SDS-CH-2300-R2 | 24 Aug 2023 | 23 Aug 2028 | Current |
| CH-2254 | Instrument Grade Disinfectant 5L Corrosive | SDS-CH-2254-R4 | 23 Jun 2023 | 22 Jun 2028 | Current |
| CH-2340 | Floor Stripper Heavy Duty 5L Corrosive | SDS-CH-2340-R2 | 2 Jul 2021 | 2 Jul 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.