VERIDIA
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Delivery docket
SO-26-01715
Veridia Australia Pty Ltd
ABN 63 004 217 508
14 Gateway Cres, Wacol QLD 4076
(07) 3271 4400 · we.care@veridia.com.au
Deliver to
Quest Newstead
Quest Apartment Hotels
Newstead QLD 4006
Attn: Adam Kirkbride
Account
QST01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Tue 30 Jun
Not yet allocated to a run
Dangerous goods — Class 3
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-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 8 | $429.90 | $3,439.20 |
| HA-5056 | Long Life Milk Portion 15ml | 1 x 1000 | 5 | $109.90 | $549.50 |
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 14 | $95.90 | $1,342.60 |
| WJ-1158 | Sanitary Bin 20L Lockable White | 1 | 11 | $129.90 | $1,428.90 |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 | 6 x 200 | 12 | $130.40 | $1,564.80 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 9 | $167.10 | $1,503.90 |
| CA-7036 | Milk Frothing Jug 600ml Stainless | 1 | 2 | $31.90 | $63.80 |
| WJ-1090 | Sanitary Disposal Bag Opaque | 20 x 100 | 15 | $37.90 | $568.50 |
| Goods ex GST | $10,461.20 |
| GST 10% | $1,046.12 |
| Total inc GST | $11,507.32 |
76
2
554 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-26-01715 for Quest Newstead. 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-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 |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 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.