VERIDIA
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Delivery docket
SO-26-01566
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
SCC Wollongong
Southern Cross Care NSW & ACT
Figtree NSW 2525
Attn: Damian Whitton
Account
SLH01
Terms 45 days EOM
Your PO: SLH-69887
Rep: Priya Selvaraj
Delivery
Wed 24 Jun
Not yet allocated to a run
Dangerous goods: Class 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-1030 | Toilet Tissue 2ply 400 sheet | 48 x 400 sht | 6 | $50.60 | $303.60 |
| CH-2262 | Machine Dishwash Liquid 20L [DG 8 UN1824] | 1 x 20L | 3 | $97.20 | $291.60 |
| WJ-1060 | Hand Towel Dispenser Interleaved ABS White | 1 | 16 | $34.90 | $558.40 |
| CH-2302 | Plug N Pump Bathroom Cleaner 1.5L [DG 8 UN1805] | 4 x 1.5L | 13 | $116.30 | $1,511.90 |
| WJ-1088 | Clinical Waste Bag Yellow 60L | 10 x 50 | 10 | $74.61 | $746.10 |
| CH-2330 | ELIMO Carpet Spotter 750ml | 12 x 750ml | 7 | $88.10 | $616.70 |
| WJ-1118 | Chux Superwipes Heavy Duty Blue | 20 | 4 | $24.40 | $97.60 |
| FP-4016 | Foil Container Oblong 3 Portion + Lid | 5 x 100 | 1 | $111.30 | $111.30 |
| FP-4044 | Cling Film 33cm x 600m Cutter Box | 6 | 14 | $96.50 | $1,351.00 |
| HP-3042 | Vinyl Glove Powder Free Clear Medium | 10 x 100 | 11 | $48.80 | $536.80 |
| Goods ex GST | $6,125.00 |
| GST 10% | $612.50 |
| Total inc GST | $6,737.50 |
85
2
687 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-26-01566 for SCC Wollongong. 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-2262 | Machine Dishwash Liquid 20L Corrosive | SDS-CH-2262-R3 | 10 Jan 2022 | 10 Jan 2027 | Current |
| CH-2302 | Plug N Pump Bathroom Cleaner 1.5L Corrosive | SDS-CH-2302-R5 | 16 Jun 2025 | 16 Jun 2030 | Current |
| CH-2330 | ELIMO Carpet Spotter 750ml Irritant | SDS-CH-2330-R5 | 11 Feb 2025 | 11 Feb 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.