VERIDIA
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Delivery docket
SO-26-01411
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
Tamworth Rural Referral
Hunter New England Health
Tamworth NSW 2340
Attn: Stores
Account
HNE01
Terms 45 days EOM
Your PO: HNE-54126
Rep: Nadia Kostoglou
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 | 13 | $24.40 | $317.20 |
| WJ-1018 | Roll Hand Towel 80m Autocut | 16 x 80m | 16 | $73.80 | $1,180.80 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 3 | $167.10 | $501.30 |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 | 6 x 200 | 6 | $130.40 | $782.40 |
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 1 | $95.90 | $95.90 |
| FP-4034 | Drinking Cup 200ml Plastic Clear | 20 x 50 | 4 | $54.20 | $216.80 |
| CH-2282 | Laundry Liquid Commercial 20L | 1 x 20L | 7 | $105.30 | $737.10 |
| HP-3078 | Face Shield Full Length Anti-Fog | 50 | 10 | $108.90 | $1,089.00 |
| HP-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 5 | $60.50 | $302.50 |
| Goods ex GST | $5,223.00 |
| GST 10% | $522.30 |
| Total inc GST | $5,745.30 |
65
2
513 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-26-01411 for Tamworth Rural Referral. 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-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-2282 | Laundry Liquid Commercial 20L Irritant | SDS-CH-2282-R4 | 11 Oct 2022 | 11 Oct 2027 | Current |
| HP-3100 | Alcohol Wipes Sachet 70% IPA Flammable liquid | SDS-HP-3100-R2 | 15 Jan 2025 | 15 Jan 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.