VERIDIA
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Delivery docket
SO-26-01639
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
Wellington Correctional Centre
Corrective Services NSW - Western
Wellington NSW 2820
Attn: Stores Officer
Account
CSC01
Terms 45 days EOM
Your PO: CSC-63239
Rep: Nadia Kostoglou
Delivery
Fri 26 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 |
|---|---|---|---|---|---|
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 14 | $246.90 | $3,456.60 |
| HP-3066 | PVC Apron Heavy Duty White | 10 | 11 | $68.90 | $757.90 |
| CH-2262 | Machine Dishwash Liquid 20L [DG 8 UN1824] | 1 x 20L | 8 | $97.20 | $777.60 |
| FP-4022 | Plastic Tray Black PP 5 Compartment | 5 x 100 | 5 | $105.20 | $526.00 |
| WJ-1040 | Mini Jumbo Toilet Roll 200m | 12 x 200m | 2 | $54.60 | $109.20 |
| WJ-1140 | Wet Floor Sign A-Frame Yellow | 1 | 15 | $30.90 | $463.50 |
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L [DG 3 UN1170] | 2 x 5L | 12 | $97.20 | $1,166.40 |
| CH-2306 | Plug N Pump Disinfectant 1.5L | 4 x 1.5L | 9 | $139.10 | $1,251.90 |
| FP-4052 | Greaseproof Paper Sheets 400x330 | 1 x 800 | 6 | $66.00 | $396.00 |
| WJ-1080 | Bin Liner 36L Clear Natural 18mu | 20 x 50 | 3 | $45.90 | $137.70 |
| FP-4036 | Water Cup 200ml Paper Cold | 20 x 50 | 15 | $66.00 | $990.00 |
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 2 | $125.40 | $250.80 |
| Goods ex GST | $10,283.60 |
| GST 10% | $1,028.36 |
| Total inc GST | $11,311.96 |
102
2
809 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-26-01639 for Wellington Correctional 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-2262 | Machine Dishwash Liquid 20L Corrosive | SDS-CH-2262-R3 | 10 Jan 2022 | 10 Jan 2027 | Current |
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L Flammable liquid | SDS-HP-3096-R5 | 3 Nov 2025 | 3 Nov 2030 | Current |
| CH-2306 | Plug N Pump Disinfectant 1.5L Irritant | SDS-CH-2306-R4 | 31 Oct 2021 | 31 Oct 2026 | Current |
| CH-2284 | Laundry Emulsifier 20L Corrosive | SDS-CH-2284-R5 | 17 Jul 2022 | 17 Jul 2027 | 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.