VERIDIA
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Delivery docket
SO-26-01922
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
RSL Bateman's Bay
RSL LifeCare
Batehaven NSW 2536
Attn: Judy Kellaway
Account
RSL01
Terms 45 days EOM
Your PO: RSL-54265
Rep: Priya Selvaraj
Delivery
Thu 9 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-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 12 | $88.10 | $1,057.20 |
| WJ-1042 | Compact Coreless Toilet Tissue 850 sht | 36 x 850 sht | 9 | $88.90 | $800.10 |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml [DG 8 UN1805] | 12 x 750ml | 2 | $62.90 | $125.80 |
| WJ-1014 | Interleaved Hand Towel Premium | 16 x 150 sht | 15 | $58.60 | $879.00 |
| HP-3086 | Safety Glasses Clear Anti-Fog | 12 | 8 | $56.90 | $455.20 |
| BD-6050 | Cutlery Table Knife 18/0 | 1 x 12 | 5 | $72.90 | $364.50 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 14 | $167.40 | $2,343.60 |
| BD-6014 | Highball Glass 340ml | 1 x 48 | 11 | $126.90 | $1,395.90 |
| Goods ex GST | $7,421.30 |
| GST 10% | $742.13 |
| Total inc GST | $8,163.43 |
76
2
790 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-26-01922 for RSL Bateman's Bay. 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-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 2026 | Current |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml Corrosive | SDS-CH-2218-R2 | 4 Aug 2021 | 4 Aug 2026 | Expiring |
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.