VERIDIA
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Delivery docket
SO-26-01863
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
Quest Dubbo
Quest Apartment Hotels
Dubbo NSW 2830
Attn: Tim Harkness
Account
QST01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Wed 8 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 |
|---|---|---|---|---|---|
| HA-5054 | Sugar Stick White 3g | 1 x 2000 | 6 | $74.90 | $449.40 |
| CA-7034 | Group Head Brush | 1 | 3 | $11.90 | $35.70 |
| WJ-1088 | Clinical Waste Bag Yellow 60L | 10 x 50 | 16 | $82.90 | $1,326.40 |
| CH-2240 | Hospital Grade Disinfectant 5L TGA | 2 x 5L | 13 | $97.20 | $1,263.60 |
| CH-2348 | Descaler Acidic Concentrate 5L [DG 8 UN1789] | 2 x 5L | 10 | $68.60 | $686.00 |
| BD-6036 | Cup & Saucer Vitrified White 200ml | 1 x 24 | 7 | $234.90 | $1,644.30 |
| WJ-1022 | Continuous Roll Towel Blue 300m | 4 x 300m | 4 | $66.20 | $264.80 |
| WJ-1122 | Sponge Scourer Non-Scratch | 10 | 1 | $10.90 | $10.90 |
| WJ-1016 | Slimfold Hand Towel | 16 x 90 sht | 14 | $53.90 | $754.60 |
| WJ-1116 | Microfibre Cloth 40x40 Green | 10 | 11 | $16.40 | $180.40 |
| Goods ex GST | $6,616.10 |
| GST 10% | $661.61 |
| Total inc GST | $7,277.71 |
85
2
749 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-26-01863 for Quest Dubbo. 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-2240 | Hospital Grade Disinfectant 5L TGA Irritant | SDS-CH-2240-R1 | 18 Nov 2025 | 18 Nov 2030 | Current |
| CH-2348 | Descaler Acidic Concentrate 5L Corrosive | SDS-CH-2348-R5 | 5 Aug 2025 | 5 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.