VERIDIA
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Delivery docket
SO-26-01735
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
UPA Dubbo
UPA Central West
Dubbo NSW 2830
Attn: Craig Ellery
Account
UPA01
Terms 30 days
Your PO: UPA-71571
Rep: Priya Selvaraj
Delivery
Thu 2 Jul
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-2340 | Floor Stripper Heavy Duty 5L [DG 8 UN1824] | 2 x 5L | 10 | $97.20 | $972.00 |
| WJ-1120 | Scourer Pad Green Heavy Duty 150mm | 10 | 7 | $13.20 | $92.40 |
| FP-4018 | Dual Ovenable Tray 2 Compartment | 4 x 125 | 4 | $124.90 | $499.60 |
| WJ-1156 | Toilet Bowl Clip Deodoriser | 12 | 1 | $44.90 | $44.90 |
| Goods ex GST | $1,608.90 |
| GST 10% | $160.89 |
| Total inc GST | $1,769.79 |
22
1
148 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-26-01735 for UPA Dubbo. 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-2340 | Floor Stripper Heavy Duty 5L Corrosive | SDS-CH-2340-R2 | 2 Jul 2021 | 2 Jul 2026 | Expired |
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.