VERIDIA
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Delivery docket
SO-26-01636
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-50738
Rep: Nadia Kostoglou
Delivery
Fri 26 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 |
|---|---|---|---|---|---|
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 9 | $49.10 | $441.90 |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 12 | $429.90 | $5,158.80 |
| HP-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 15 | $60.50 | $907.50 |
| WJ-1152 | Metered Air Freshener Dispenser | 1 | 2 | $48.90 | $97.80 |
| WJ-1050 | Facial Tissue 2ply 200 sheet Cube | 24 x 200 sht | 5 | $40.20 | $201.00 |
| FP-4026 | Bagasse Plate 230mm Compostable | 10 x 50 | 8 | $88.70 | $709.60 |
| CH-2266 | Manual Dishwash Liquid 5L Lemon | 2 x 5L | 11 | $46.30 | $509.30 |
| HP-3072 | Surgical Mask Level 3 Fluid Resistant | 40 x 50 | 14 | $119.80 | $1,677.20 |
| CH-2282 | Laundry Liquid Commercial 20L | 1 x 20L | 1 | $105.30 | $105.30 |
| HP-3078 | Face Shield Full Length Anti-Fog | 50 | 4 | $108.90 | $435.60 |
| CH-2212 | Neutral Floor Detergent 20L Drum | 1 x 20L | 2 | $74.20 | $148.40 |
| Goods ex GST | $10,392.40 |
| GST 10% | $1,039.24 |
| Total inc GST | $11,431.64 |
83
2
545 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-26-01636 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 |
| CH-2282 | Laundry Liquid Commercial 20L Irritant | SDS-CH-2282-R4 | 11 Oct 2022 | 11 Oct 2027 | Current |
| CH-2212 | Neutral Floor Detergent 20L Drum Irritant | SDS-CH-2212-R1 | 29 Oct 2021 | 29 Oct 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.