VERIDIA
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Delivery docket
SO-26-01400
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 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 |
|---|---|---|---|---|---|
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 6 | $95.90 | $575.40 |
| WJ-1158 | Sanitary Bin 20L Lockable White | 1 | 3 | $129.90 | $389.70 |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 16 | $429.90 | $6,878.40 |
| HA-5056 | Long Life Milk Portion 15ml | 1 x 1000 | 13 | $109.90 | $1,428.70 |
| CA-7036 | Milk Frothing Jug 600ml Stainless | 1 | 10 | $31.90 | $319.00 |
| WJ-1090 | Sanitary Disposal Bag Opaque | 20 x 100 | 7 | $37.90 | $265.30 |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 | 6 x 200 | 4 | $130.40 | $521.60 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 1 | $167.10 | $167.10 |
| CH-2228 | Oven & Grill Cleaner 5L Caustic [DG 8 UN1824] | 2 x 5L | 14 | $82.70 | $1,157.80 |
| CH-2344 | Floor Polish High Solids 5L | 2 x 5L | 11 | $121.60 | $1,337.60 |
| Goods ex GST | $13,040.60 |
| GST 10% | $1,304.06 |
| Total inc GST | $14,344.66 |
85
2
704 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-26-01400 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-2310 | Plug N Pump Wall Dosing Station 4-Way Irritant | SDS-CH-2310-R2 | 18 Oct 2023 | 17 Oct 2028 | Current |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 Irritant | SDS-CH-2242-R4 | 25 Dec 2023 | 24 Dec 2028 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 2030 | Current |
| CH-2228 | Oven & Grill Cleaner 5L Caustic Corrosive | SDS-CH-2228-R2 | 5 Jun 2022 | 5 Jun 2027 | Current |
| CH-2344 | Floor Polish High Solids 5L Irritant | SDS-CH-2344-R3 | 24 Jan 2026 | 24 Jan 2031 | 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.