VERIDIA
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Delivery docket
SO-26-01474
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
UPA Dubbo
UPA Central West
Dubbo NSW 2830
Attn: Craig Ellery
Account
UPA01
Terms 30 days
Your PO: UPA-75062
Rep: Priya Selvaraj
Delivery
Thu 18 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 |
|---|---|---|---|---|---|
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 13 | $125.40 | $1,630.20 |
| WJ-1042 | Compact Coreless Toilet Tissue 850 sht | 36 x 850 sht | 16 | $88.90 | $1,422.40 |
| CH-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 3 | $88.10 | $264.30 |
| WJ-1014 | Interleaved Hand Towel Premium | 16 x 150 sht | 6 | $58.60 | $351.60 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 1 | $167.10 | $167.10 |
| Goods ex GST | $3,835.60 |
| GST 10% | $383.56 |
| Total inc GST | $4,219.16 |
39
1
640 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-26-01474 for UPA Dubbo. 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-2284 | Laundry Emulsifier 20L Corrosive | SDS-CH-2284-R5 | 17 Jul 2022 | 17 Jul 2027 | Current |
| CH-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 2026 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 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.