VERIDIA
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Delivery docket
SO-26-01913
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
Wagga Civic Centre
Wagga Wagga City Council
Wagga Wagga NSW 2650
Attn: Facilities
Account
WWC01
Terms 30 days
Your PO: WWC-98811
Rep: Nadia Kostoglou
Delivery
Wed 8 Jul
Not yet allocated to a run
Dangerous goods — Class 3
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 |
|---|---|---|---|---|---|
| HP-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 10 | $60.50 | $605.00 |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 7 | $429.90 | $3,009.30 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 4 | $49.10 | $196.40 |
| WJ-1084 | Bin Liner 240L Black Heavy Duty | 5 x 50 | 1 | $96.90 | $96.90 |
| Goods ex GST | $3,907.60 |
| GST 10% | $390.76 |
| Total inc GST | $4,298.36 |
22
1
103 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-26-01913 for Wagga Civic Centre. 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 |
|---|---|---|---|---|---|
| HP-3100 | Alcohol Wipes Sachet 70% IPA Flammable liquid | SDS-HP-3100-R2 | 15 Jan 2025 | 15 Jan 2030 | Current |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way Irritant | SDS-CH-2310-R2 | 18 Oct 2023 | 17 Oct 2028 | 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.