VERIDIA
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Delivery docket
SO-26-01823
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
Tamworth Rural Referral
Hunter New England Health
Tamworth NSW 2340
Attn: Stores
Account
HNE01
Terms 45 days EOM
Your PO: HNE-52943
Rep: Nadia Kostoglou
Delivery
Mon 6 Jul
Not yet allocated to a run
Dangerous goods: Class 3, 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-2260 | Machine Dishwash Powder 10kg [DG 8 UN3253] | 1 x 10kg | 6 | $68.60 | $411.60 |
| FP-4020 | Meal Delivery Tray Sealable 3 Comp | 4 x 125 | 3 | $144.40 | $433.20 |
| WJ-1038 | Jumbo Toilet Roll 500m 1ply | 6 x 500m | 16 | $64.90 | $1,038.40 |
| WJ-1138 | Dustpan & Brush Set Long Handle | 1 | 13 | $41.90 | $544.70 |
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml [DG 3 UN1170] | 12 x 500ml | 10 | $82.40 | $824.00 |
| CH-2304 | Plug N Pump Glass Cleaner 1.5L | 4 x 1.5L | 7 | $108.40 | $758.80 |
| Goods ex GST | $4,010.70 |
| GST 10% | $401.07 |
| Total inc GST | $4,411.77 |
55
2
432 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-26-01823 for Tamworth Rural Referral. 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-2260 | Machine Dishwash Powder 10kg Corrosive | SDS-CH-2260-R1 | 3 Nov 2023 | 2 Nov 2028 | Current |
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml Flammable liquid | SDS-HP-3094-R2 | 11 Sep 2021 | 11 Sep 2026 | Expiring |
| CH-2304 | Plug N Pump Glass Cleaner 1.5L Irritant | SDS-CH-2304-R1 | 22 Mar 2025 | 22 Mar 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.