VERIDIA
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Delivery docket
SO-26-01777
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
Forbes Aged Care
Forbes Aged Care
Forbes NSW 2871
Attn: Lisa Mahony
Account
FOR02
Terms 30 days
Your PO: —
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-2348 | Descaler Acidic Concentrate 5L [DG 8 UN1789] | 2 x 5L | 2 | $68.60 | $137.20 |
| WJ-1134 | Toilet Brush & Holder Set | 1 | 15 | $11.90 | $178.50 |
| FP-4026 | Bagasse Plate 230mm Compostable | 10 x 50 | 12 | $88.70 | $1,064.40 |
| HP-3014 | Nitrile Glove Powder Free Blue Large | 10 x 200 | 9 | $87.90 | $791.10 |
| CH-2282 | Laundry Liquid Commercial 20L | 1 x 20L | 14 | $105.30 | $1,474.20 |
| WJ-1070 | Sanitiser Dispenser Auto Sensor 1L | 1 | 11 | $119.90 | $1,318.90 |
| CH-2312 | Plug N Pump Spray Bottle & Trigger Set | 6 | 8 | $35.90 | $287.20 |
| WJ-1106 | Mop Bucket & Wringer 15L Yellow | 1 | 5 | $104.90 | $524.50 |
| Goods ex GST | $5,776.00 |
| GST 10% | $577.60 |
| Total inc GST | $6,353.60 |
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-26-01777 for Forbes Aged Care. 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-2282 | Laundry Liquid Commercial 20L Irritant | SDS-CH-2282-R4 | 11 Oct 2022 | 11 Oct 2027 | Current |
| CH-2312 | Plug N Pump Spray Bottle & Trigger Set Irritant | SDS-CH-2312-R4 | 25 Dec 2021 | 25 Dec 2026 | 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.