VERIDIA
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Delivery docket
SO-26-01670
Veridia Australia Pty Ltd
ABN 63 004 217 508
6 Kane Rd, Bomen NSW 2650
(02) 6931 7700 · we.care@veridia.com.au
Deliver to
Junee Shire Council
Junee Shire Council
Junee NSW 2663
Attn: Tim Ainsworth
Account
JUN01
Terms 30 days
Your PO: —
Rep: Nadia Kostoglou
Delivery
Mon 29 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 |
|---|---|---|---|---|---|
| HP-3054 | Rubber Glove Heavy Duty Green Large | 12 pr | 6 | $66.90 | $401.40 |
| CH-2252 | Norovirus Disinfectant Concentrate 5L [DG 8 UN1791] | 2 x 5L | 3 | $158.90 | $476.70 |
| FP-4014 | Foil Container Rectangular 1 Portion | 10 x 100 | 16 | $79.50 | $1,272.00 |
| WJ-1032 | Toilet Tissue 2ply 700 sheet | 48 x 700 sht | 13 | $78.90 | $1,025.70 |
| WJ-1132 | Broom Head Stiff Bristle 300mm | 1 | 10 | $23.40 | $234.00 |
| HP-3086 | Safety Glasses Clear Anti-Fog | 12 | 7 | $56.90 | $398.30 |
| Goods ex GST | $3,808.10 |
| GST 10% | $380.81 |
| Total inc GST | $4,188.91 |
55
2
433 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-26-01670 for Junee Shire Council. 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-2252 | Norovirus Disinfectant Concentrate 5L Corrosive | SDS-CH-2252-R2 | 15 Apr 2025 | 15 Apr 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.