VERIDIA
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Delivery docket
SO-26-01378
Veridia Australia Pty Ltd
ABN 63 004 217 508
14 Gateway Cres, Wacol QLD 4076
(07) 3271 4400 · we.care@veridia.com.au
Deliver to
BlueCare Wynnum
BlueCare Queensland
Wynnum QLD 4178
Attn: Helen Duncombe
Account
BLU01
Terms 45 days EOM
Your PO: BLU-49085
Rep: Grant Whitely
Delivery
Tue 16 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 |
|---|---|---|---|---|---|
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L [DG 3 UN1170] | 2 x 5L | 16 | $97.20 | $1,555.20 |
| BD-6060 | Table Cover Paper White 1.2 x 30m | 1 x 6 | 13 | $115.90 | $1,506.70 |
| HP-3072 | Surgical Mask Level 3 Fluid Resistant | 40 x 50 | 6 | $119.80 | $718.80 |
| BD-6022 | Glass Rack 25 Compartment | 1 | 3 | $71.90 | $215.70 |
| CH-2260 | Machine Dishwash Powder 10kg [DG 8 UN3253] | 1 x 10kg | 4 | $68.60 | $274.40 |
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 1 | $95.90 | $95.90 |
| CH-2226 | Heavy Duty Degreaser 5L [DG 8 UN1719] | 2 x 5L | 10 | $62.40 | $624.00 |
| WJ-1022 | Continuous Roll Towel Blue 300m | 4 x 300m | 7 | $66.20 | $463.40 |
| Goods ex GST | $5,454.10 |
| GST 10% | $545.41 |
| Total inc GST | $5,999.51 |
60
2
627 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-26-01378 for BlueCare Wynnum. 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-3096 | Hand Sanitiser Gel 70% Ethanol 5L Flammable liquid | SDS-HP-3096-R5 | 3 Nov 2025 | 3 Nov 2030 | Current |
| CH-2260 | Machine Dishwash Powder 10kg Corrosive | SDS-CH-2260-R1 | 3 Nov 2023 | 2 Nov 2028 | Current |
| CH-2226 | Heavy Duty Degreaser 5L Corrosive | SDS-CH-2226-R1 | 6 May 2025 | 6 May 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.