VERIDIA
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Delivery docket
SO-26-01701
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-96275
Rep: Nadia Kostoglou
Delivery
Tue 30 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 |
|---|---|---|---|---|---|
| WJ-1102 | Mop Head Microfibre Flat 40cm | 1 | 10 | $20.90 | $209.00 |
| HP-3060 | Isolation Gown Level 2 Blue Universal | 10 x 10 | 7 | $130.40 | $912.80 |
| CH-2254 | Instrument Grade Disinfectant 5L [DG 8 UN1760] | 2 x 5L | 4 | $210.10 | $840.40 |
| FP-4016 | Foil Container Oblong 3 Portion + Lid | 5 x 100 | 1 | $111.30 | $111.30 |
| HP-3012 | Nitrile Glove Powder Free Blue Medium | 10 x 200 | 6 | $87.90 | $527.40 |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml [DG 8 UN1805] | 12 x 750ml | 3 | $62.90 | $188.70 |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L | 2 x 5L | 16 | $119.40 | $1,910.40 |
| FP-4080 | Napkin 1ply Lunch White 1/4 Fold | 20 x 500 | 13 | $83.10 | $1,080.30 |
| Goods ex GST | $5,780.30 |
| GST 10% | $578.03 |
| Total inc GST | $6,358.33 |
60
1
543 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-26-01701 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-2254 | Instrument Grade Disinfectant 5L Corrosive | SDS-CH-2254-R4 | 23 Jun 2023 | 22 Jun 2028 | Current |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml Corrosive | SDS-CH-2218-R2 | 4 Aug 2021 | 4 Aug 2026 | Expiring |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L Irritant | SDS-CH-2326-R4 | 1 Sep 2023 | 31 Aug 2028 | 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.