VERIDIA
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Delivery docket
SO-26-01773
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 Works Depot
Orange City Council
Orange NSW 2800
Attn: Stores
Account
OCC01
Terms 30 days
Your PO: OCC-84409
Rep: Nadia Kostoglou
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-2348 | Descaler Acidic Concentrate 5L [DG 8 UN1789] | 2 x 5L | 4 | $68.60 | $274.40 |
| WJ-1016 | Slimfold Hand Towel | 16 x 90 sht | 1 | $53.90 | $53.90 |
| HP-3040 | Vinyl Glove Powder Free Clear Small | 10 x 100 | 10 | $48.80 | $488.00 |
| CH-2240 | Hospital Grade Disinfectant 5L TGA | 2 x 5L | 7 | $97.20 | $680.40 |
| FP-4060 | Cutlery Knife PP White Heavy | 20 x 100 | 16 | $49.10 | $785.60 |
| WJ-1082 | Bin Liner 82L Black 30mu | 10 x 50 | 13 | $53.80 | $699.40 |
| HP-3082 | Beard Cover White | 10 x 100 | 6 | $34.90 | $209.40 |
| CH-2286 | Laundry Sour / Neutraliser 20L [DG 8 UN1805] | 1 x 20L | 3 | $96.50 | $289.50 |
| WJ-1022 | Continuous Roll Towel Blue 300m | 4 x 300m | 12 | $66.20 | $794.40 |
| WJ-1122 | Sponge Scourer Non-Scratch | 10 | 9 | $10.90 | $98.10 |
| CH-2266 | Manual Dishwash Liquid 5L Lemon | 2 x 5L | 1 | $46.30 | $46.30 |
| HP-3072 | Surgical Mask Level 3 Fluid Resistant | 40 x 50 | 4 | $119.80 | $479.20 |
| Goods ex GST | $4,898.60 |
| GST 10% | $489.86 |
| Total inc GST | $5,388.46 |
86
2
696 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-26-01773 for Orange Works Depot. 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-2348 | Descaler Acidic Concentrate 5L Corrosive | SDS-CH-2348-R5 | 5 Aug 2025 | 5 Aug 2030 | Current |
| CH-2240 | Hospital Grade Disinfectant 5L TGA Irritant | SDS-CH-2240-R1 | 18 Nov 2025 | 18 Nov 2030 | Current |
| CH-2286 | Laundry Sour / Neutraliser 20L Corrosive | SDS-CH-2286-R3 | 9 May 2024 | 9 May 2029 | Current |
| CH-2266 | Manual Dishwash Liquid 5L Lemon Irritant | SDS-CH-2266-R4 | 26 Aug 2025 | 26 Aug 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.