VERIDIA
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Delivery docket
SO-26-01393
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
BIG4 Wagga Beach
BIG4 Holiday Parks - East Coast
Wagga Wagga NSW 2650
Attn: Deb Fogarty
Account
BIG01
Terms 30 days
Your PO: -
Rep: Beau Harrington
Delivery
Wed 17 Jun
Not yet allocated to a run
Dangerous goods: Class 3
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-1118 | Chux Superwipes Heavy Duty Blue | 20 | 15 | $24.40 | $366.00 |
| WJ-1018 | Roll Hand Towel 80m Autocut | 16 x 80m | 2 | $73.80 | $147.60 |
| CH-2282 | Laundry Liquid Commercial 20L | 1 x 20L | 9 | $105.30 | $947.70 |
| HP-3078 | Face Shield Full Length Anti-Fog | 50 | 12 | $108.90 | $1,306.80 |
| HP-3042 | Vinyl Glove Powder Free Clear Medium | 10 x 100 | 11 | $48.80 | $536.80 |
| WJ-1084 | Bin Liner 240L Black Heavy Duty | 5 x 50 | 14 | $96.90 | $1,356.60 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 5 | $167.10 | $835.50 |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 | 6 x 200 | 8 | $130.40 | $1,043.20 |
| FP-4068 | Cutlery Kit Wrapped Knife/Fork/Napkin | 1 x 250 | 7 | $74.20 | $519.40 |
| CH-2322 | ELIMO Enzyme Digestant 5L | 2 x 5L | 10 | $111.40 | $1,114.00 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 4 | $167.40 | $669.60 |
| Goods ex GST | $8,843.20 |
| GST 10% | $884.32 |
| Total inc GST | $9,727.52 |
97
2
898 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-26-01393 for BIG4 Wagga Beach. 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-2282 | Laundry Liquid Commercial 20L Irritant | SDS-CH-2282-R4 | 11 Oct 2022 | 11 Oct 2027 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 2030 | Current |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 Irritant | SDS-CH-2242-R4 | 25 Dec 2023 | 24 Dec 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.