VERIDIA
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Delivery docket
SO-26-01525
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
Orange Aquatic Centre
Orange City Council
Orange NSW 2800
Attn: Centre Manager
Account
OCC01
Terms 30 days
Your PO: OCC-42817
Rep: Nadia Kostoglou
Delivery
Tue 23 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 |
|---|---|---|---|---|---|
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 4 | $429.90 | $1,719.60 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 1 | $49.10 | $49.10 |
| WJ-1152 | Metered Air Freshener Dispenser | 1 | 10 | $48.90 | $489.00 |
| HP-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 7 | $60.50 | $423.50 |
| FP-4026 | Bagasse Plate 230mm Compostable | 10 x 50 | 16 | $88.70 | $1,419.20 |
| WJ-1050 | Facial Tissue 2ply 200 sheet Cube | 24 x 200 sht | 13 | $40.20 | $522.60 |
| HP-3072 | Surgical Mask Level 3 Fluid Resistant | 40 x 50 | 6 | $119.80 | $718.80 |
| CH-2266 | Manual Dishwash Liquid 5L Lemon | 2 x 5L | 3 | $46.30 | $138.90 |
| WJ-1012 | Compact Hand Towel 90 sheet | 24 x 90 sht | 12 | $44.40 | $532.80 |
| WJ-1112 | Microfibre Cloth 40x40 Blue | 10 | 9 | $16.40 | $147.60 |
| Goods ex GST | $6,161.10 |
| GST 10% | $616.11 |
| Total inc GST | $6,777.21 |
81
2
425 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-26-01525 for Orange Aquatic Centre. 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 |
| HP-3100 | Alcohol Wipes Sachet 70% IPA Flammable liquid | SDS-HP-3100-R2 | 15 Jan 2025 | 15 Jan 2030 | Current |
| CH-2266 | Manual Dishwash Liquid 5L Lemon Irritant | SDS-CH-2266-R4 | 26 Aug 2025 | 26 Aug 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.