VERIDIA
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Delivery docket
SO-26-01918
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
UPA Molong
UPA Central West
Molong NSW 2866
Attn: Robyn Guest
Account
UPA01
Terms 30 days
Your PO: -
Rep: Priya Selvaraj
Delivery
Wed 8 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 |
|---|---|---|---|---|---|
| WJ-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 4 | $479.90 | $1,919.60 |
| CH-2352 | Chewing Gum Remover Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 1 | $136.60 | $136.60 |
| WJ-1080 | Bin Liner 36L Clear Natural 18mu | 20 x 50 | 10 | $45.90 | $459.00 |
| CH-2322 | ELIMO Enzyme Digestant 5L | 2 x 5L | 7 | $111.40 | $779.80 |
| WJ-1050 | Facial Tissue 2ply 200 sheet Cube | 24 x 200 sht | 16 | $40.20 | $643.20 |
| CH-2286 | Laundry Sour / Neutraliser 20L [DG 8 UN1805] | 1 x 20L | 13 | $96.50 | $1,254.50 |
| WJ-1016 | Slimfold Hand Towel | 16 x 90 sht | 6 | $53.90 | $323.40 |
| CH-2252 | Norovirus Disinfectant Concentrate 5L [DG 8 UN1791] | 2 x 5L | 3 | $158.90 | $476.70 |
| Goods ex GST | $5,992.80 |
| GST 10% | $599.28 |
| Total inc GST | $6,592.08 |
60
2
712 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-26-01918 for UPA Molong. 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-2352 | Chewing Gum Remover Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2352-R3 | 21 Nov 2023 | 20 Nov 2028 | Current |
| CH-2322 | ELIMO Enzyme Digestant 5L Irritant | SDS-CH-2322-R3 | 30 Mar 2025 | 30 Mar 2030 | Current |
| CH-2286 | Laundry Sour / Neutraliser 20L Corrosive | SDS-CH-2286-R3 | 9 May 2024 | 9 May 2029 | Current |
| CH-2252 | Norovirus Disinfectant Concentrate 5L Corrosive | SDS-CH-2252-R2 | 15 Apr 2025 | 15 Apr 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.