VERIDIA
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Delivery docket
SO-26-01697
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
SCC Wagga Wagga
Southern Cross Care NSW & ACT
Kooringal NSW 2650
Attn: Craig Bidgood
Account
SLH01
Terms 45 days EOM
Your PO: SLH-47769
Rep: Priya Selvaraj
Delivery
Tue 30 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 |
|---|---|---|---|---|---|
| HP-3012 | Nitrile Glove Powder Free Blue Medium | 10 x 200 | 12 | $79.40 | $952.80 |
| FP-4050 | Baking Paper 40cm x 100m | 4 | 9 | $88.10 | $792.90 |
| WJ-1132 | Broom Head Stiff Bristle 300mm | 1 | 2 | $23.40 | $46.80 |
| FP-4024 | Bagasse Bowl 500ml Compostable | 10 x 50 | 15 | $96.50 | $1,447.50 |
| WJ-1104 | Mop Handle Aluminium 1500mm | 1 | 8 | $24.60 | $196.80 |
| CH-2346 | Drain Cleaner Caustic 5L [DG 8 UN1824] | 2 x 5L | 5 | $77.30 | $386.50 |
| WJ-1068 | Soap Dispenser 1L Bulk Fill White | 1 | 14 | $30.90 | $432.60 |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 11 | $429.90 | $4,728.90 |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 | 6 x 200 | 4 | $118.20 | $472.80 |
| WJ-1036 | Jumbo Toilet Roll 300m 2ply | 8 x 300m | 1 | $59.90 | $59.90 |
| HP-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 9 | $60.50 | $544.50 |
| BD-6032 | Side Plate Vitrified White 180mm | 1 x 36 | 12 | $199.90 | $2,398.80 |
| Goods ex GST | $12,460.80 |
| GST 10% | $1,246.08 |
| Total inc GST | $13,706.88 |
102
2
685 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-26-01697 for SCC Wagga Wagga. 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-2346 | Drain Cleaner Caustic 5L Corrosive | SDS-CH-2346-R1 | 4 Sep 2022 | 4 Sep 2027 | Current |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way Irritant | SDS-CH-2310-R2 | 18 Oct 2023 | 17 Oct 2028 | Current |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 Irritant | SDS-CH-2242-R4 | 25 Dec 2023 | 24 Dec 2028 | Current |
| HP-3100 | Alcohol Wipes Sachet 70% IPA Flammable liquid | SDS-HP-3100-R2 | 15 Jan 2025 | 15 Jan 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.