VERIDIA
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Delivery docket
SO-26-01904
Veridia Australia Pty Ltd
ABN 63 004 217 508
9 Stanton Rd, Ingleburn NSW 2565
(02) 9605 3300 · we.care@veridia.com.au
Deliver to
SCC Canberra
Southern Cross Care NSW & ACT
Garran ACT 2605
Attn: Jason Halliwell
Account
SLH01
Terms 45 days EOM
Your PO: SLH-40280
Rep: Priya Selvaraj
Delivery
Thu 9 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-2244 | Chlorine Sanitiser 12.5% 20L [DG 8 UN1791] | 1 x 20L | 11 | $66.10 | $727.10 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 14 | $44.40 | $621.60 |
| CH-2280 | Laundry Powder Commercial 15kg | 1 x 15kg | 5 | $88.10 | $440.50 |
| Goods ex GST | $1,789.20 |
| GST 10% | $178.92 |
| Total inc GST | $1,968.12 |
30
1
452 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-26-01904 for SCC Canberra. 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-2244 | Chlorine Sanitiser 12.5% 20L Corrosive | SDS-CH-2244-R2 | 19 Aug 2021 | 19 Aug 2026 | Expiring |
| CH-2280 | Laundry Powder Commercial 15kg Irritant | SDS-CH-2280-R1 | 18 Dec 2020 | 18 Dec 2025 | Expired |
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.