VERIDIA
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Delivery docket
SO-26-01811
Veridia Australia Pty Ltd
ABN 63 004 217 508
6 Kane Rd, Bomen NSW 2650
(02) 6931 7700 · we.care@veridia.com.au
Deliver to
SCC Wagga Wagga
Southern Cross Care NSW & ACT
Kooringal NSW 2650
Attn: Craig Bidgood
Account
SLH01
Terms 45 days EOM
Your PO: SLH-87027
Rep: Priya Selvaraj
Delivery
Mon 6 Jul
Not yet allocated to a run
Dangerous goods: Class 2.1, 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-2304 | Plug N Pump Glass Cleaner 1.5L | 4 x 1.5L | 2 | $108.40 | $216.80 |
| WJ-1090 | Sanitary Disposal Bag Opaque | 20 x 100 | 15 | $37.90 | $568.50 |
| CH-2340 | Floor Stripper Heavy Duty 5L [DG 8 UN1824] | 2 x 5L | 12 | $97.20 | $1,166.40 |
| WJ-1120 | Scourer Pad Green Heavy Duty 150mm | 10 | 9 | $13.20 | $118.80 |
| CH-2230 | Stainless Steel Polish Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 14 | $96.60 | $1,352.40 |
| WJ-1032 | Toilet Tissue 2ply 700 sheet | 48 x 700 sht | 11 | $78.90 | $867.90 |
| CH-2264 | Dishwash Rinse Aid 20L [DG 8 UN1805] | 1 x 20L | 8 | $110.60 | $884.80 |
| WJ-1062 | Hand Towel Dispenser Autocut Roll | 1 | 5 | $74.90 | $374.50 |
| FP-4080 | Napkin 1ply Lunch White 1/4 Fold | 20 x 500 | 10 | $83.10 | $831.00 |
| HP-3074 | P2 Respirator Flat Fold Unvalved | 20 x 20 | 7 | $209.70 | $1,467.90 |
| Goods ex GST | $7,849.00 |
| GST 10% | $784.90 |
| Total inc GST | $8,633.90 |
93
2
861 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-26-01811 for SCC Wagga Wagga. 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-2304 | Plug N Pump Glass Cleaner 1.5L Irritant | SDS-CH-2304-R1 | 22 Mar 2025 | 22 Mar 2030 | Current |
| CH-2340 | Floor Stripper Heavy Duty 5L Corrosive | SDS-CH-2340-R2 | 2 Jul 2021 | 2 Jul 2026 | Expired |
| CH-2230 | Stainless Steel Polish Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2230-R1 | 27 Apr 2022 | 27 Apr 2027 | Current |
| CH-2264 | Dishwash Rinse Aid 20L Corrosive | SDS-CH-2264-R2 | 6 Apr 2022 | 6 Apr 2027 | 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.