VERIDIA
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Delivery docket
SO-26-01545
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
St Hedwig Blacktown
Catholic Healthcare Ltd
Blacktown NSW 2148
Attn: Ursula Kaminski
Account
CAT01
Terms 45 days EOM
Your PO: CAT-64486
Rep: Priya Selvaraj
Delivery
Mon 22 Jun
Not yet allocated to a run
Dangerous goods: Class 2.1, 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 |
|---|---|---|---|---|---|
| HP-3020 | Nitrile Glove Long Cuff Black Medium | 10 x 100 | 5 | $101.20 | $506.00 |
| FP-4032 | Dispensary Cup Lid 30ml | 20 x 100 | 8 | $46.30 | $370.40 |
| WJ-1138 | Dustpan & Brush Set Long Handle | 1 | 11 | $41.90 | $460.90 |
| CH-2352 | Chewing Gum Remover Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 14 | $136.60 | $1,912.40 |
| HP-3086 | Safety Glasses Clear Anti-Fog | 12 | 9 | $56.90 | $512.10 |
| BD-6014 | Highball Glass 340ml | 1 x 48 | 12 | $126.90 | $1,522.80 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 15 | $167.40 | $2,511.00 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 2 | $49.10 | $98.20 |
| CH-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 13 | $88.10 | $1,145.30 |
| Goods ex GST | $9,039.10 |
| GST 10% | $903.91 |
| Total inc GST | $9,943.01 |
89
2
685 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-26-01545 for St Hedwig Blacktown. 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-2352 | Chewing Gum Remover Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2352-R3 | 21 Nov 2023 | 20 Nov 2028 | Current |
| CH-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 2026 | 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.