VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-01796
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
Roshana Orange
Roshana Care Group
Orange NSW 2800
Attn: Leonie Sharp
Account
ROS01
Terms 30 days
Your PO: ROS-69019
Rep: Priya Selvaraj
Delivery
Fri 3 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-2286 | Laundry Sour / Neutraliser 20L [DG 8 UN1805] | 1 x 20L | 2 | $96.50 | $193.00 |
| WJ-1080 | Bin Liner 36L Clear Natural 18mu | 20 x 50 | 15 | $45.90 | $688.50 |
| CH-2322 | ELIMO Enzyme Digestant 5L | 2 x 5L | 12 | $111.40 | $1,336.80 |
| WJ-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 9 | $479.90 | $4,319.10 |
| CH-2220 | Glass & Mirror Cleaner 750ml | 12 x 750ml | 14 | $54.90 | $768.60 |
| WJ-1016 | Slimfold Hand Towel | 16 x 90 sht | 11 | $53.90 | $592.90 |
| CH-2252 | Norovirus Disinfectant Concentrate 5L [DG 8 UN1791] | 2 x 5L | 8 | $158.90 | $1,271.20 |
| WJ-1050 | Facial Tissue 2ply 200 sheet Cube | 24 x 200 sht | 5 | $40.20 | $201.00 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 10 | $49.10 | $491.00 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 7 | $167.40 | $1,171.80 |
| WJ-1040 | Mini Jumbo Toilet Roll 200m | 12 x 200m | 11 | $54.60 | $600.60 |
| CH-2246 | Quaternary Sanitiser Food Grade 5L [DG 8 UN1760] | 2 x 5L | 14 | $77.10 | $1,079.40 |
| Goods ex GST | $12,713.90 |
| GST 10% | $1,271.39 |
| Total inc GST | $13,985.29 |
118
3
1,190 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-26-01796 for Roshana Orange. 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-2286 | Laundry Sour / Neutraliser 20L Corrosive | SDS-CH-2286-R3 | 9 May 2024 | 9 May 2029 | Current |
| CH-2322 | ELIMO Enzyme Digestant 5L Irritant | SDS-CH-2322-R3 | 30 Mar 2025 | 30 Mar 2030 | Current |
| CH-2220 | Glass & Mirror Cleaner 750ml Irritant | SDS-CH-2220-R5 | 31 Jul 2025 | 31 Jul 2030 | Current |
| CH-2252 | Norovirus Disinfectant Concentrate 5L Corrosive | SDS-CH-2252-R2 | 15 Apr 2025 | 15 Apr 2030 | Current |
| CH-2246 | Quaternary Sanitiser Food Grade 5L Corrosive | SDS-CH-2246-R5 | 3 Feb 2026 | 3 Feb 2031 | 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.