VERIDIA
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Delivery docket
SO-26-01646
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-72357
Rep: Nadia Kostoglou
Delivery
Fri 26 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 |
|---|---|---|---|---|---|
| CH-2328 | ELIMO Carpet Extraction Concentrate 5L | 2 x 5L | 8 | $94.30 | $754.40 |
| FP-4082 | Napkin 2ply Dinner White 1/8 Fold | 10 x 250 | 5 | $93.70 | $468.50 |
| HP-3014 | Nitrile Glove Powder Free Blue Large | 10 x 200 | 14 | $87.90 | $1,230.60 |
| CH-2220 | Glass & Mirror Cleaner 750ml | 12 x 750ml | 11 | $54.90 | $603.90 |
| CH-2256 | Viraclean Hospital Disinfectant 5L | 2 x 5L | 12 | $136.00 | $1,632.00 |
| FP-4018 | Dual Ovenable Tray 2 Compartment | 4 x 125 | 9 | $124.90 | $1,124.10 |
| WJ-1104 | Mop Handle Aluminium 1500mm | 1 | 2 | $24.60 | $49.20 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 15 | $167.40 | $2,511.00 |
| HP-3092 | Hand Soap Liquid Antibacterial 5L | 2 x 5L | 16 | $60.10 | $961.60 |
| CH-2302 | Plug N Pump Bathroom Cleaner 1.5L [DG 8 UN1805] | 4 x 1.5L | 13 | $116.30 | $1,511.90 |
| Goods ex GST | $10,847.20 |
| GST 10% | $1,084.72 |
| Total inc GST | $11,931.92 |
105
2
1,020 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-26-01646 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-2328 | ELIMO Carpet Extraction Concentrate 5L Irritant | SDS-CH-2328-R4 | 3 Jan 2025 | 3 Jan 2030 | Current |
| CH-2220 | Glass & Mirror Cleaner 750ml Irritant | SDS-CH-2220-R5 | 31 Jul 2025 | 31 Jul 2030 | Current |
| CH-2256 | Viraclean Hospital Disinfectant 5L Irritant | SDS-CH-2256-R1 | 30 Aug 2021 | 30 Aug 2026 | Expiring |
| CH-2302 | Plug N Pump Bathroom Cleaner 1.5L Corrosive | SDS-CH-2302-R5 | 16 Jun 2025 | 16 Jun 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.