VERIDIA
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Delivery docket
SO-26-01935
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 Orange
UPA Central West
Orange NSW 2800
Attn: Bev Antcliff
Account
UPA01
Terms 30 days
Your PO: UPA-43239
Rep: Priya Selvaraj
Delivery
Fri 10 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 |
|---|---|---|---|---|---|
| HP-3080 | Hair Net Bouffant White 21" | 10 x 100 | 6 | $37.20 | $223.20 |
| BD-6036 | Cup & Saucer Vitrified White 200ml | 1 x 24 | 3 | $234.90 | $704.70 |
| CH-2212 | Neutral Floor Detergent 20L Drum | 1 x 20L | 16 | $74.20 | $1,187.20 |
| BD-6068 | Ice Bucket Stainless 4L with Tongs | 1 | 13 | $79.90 | $1,038.70 |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 | 6 x 200 | 10 | $130.40 | $1,304.00 |
| WJ-1036 | Jumbo Toilet Roll 300m 2ply | 8 x 300m | 7 | $59.90 | $419.30 |
| CH-2270 | Glasswash Detergent 20L [DG 8 UN1824] | 1 x 20L | 4 | $130.60 | $522.40 |
| WJ-1066 | Toilet Roll Dispenser Twin ABS | 1 | 1 | $44.90 | $44.90 |
| WJ-1104 | Mop Handle Aluminium 1500mm | 1 | 14 | $24.60 | $344.40 |
| CH-2346 | Drain Cleaner Caustic 5L [DG 8 UN1824] | 2 x 5L | 11 | $77.30 | $850.30 |
| WJ-1086 | Bin Liner 27L Kitchen Tidy White | 20 x 50 | 7 | $34.90 | $244.30 |
| CH-2300 | Plug N Pump Neutral Detergent 1.5L | 4 x 1.5L | 10 | $105.30 | $1,053.00 |
| Goods ex GST | $7,936.40 |
| GST 10% | $793.64 |
| Total inc GST | $8,730.04 |
102
3
916 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-26-01935 for UPA Orange. 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-2212 | Neutral Floor Detergent 20L Drum Irritant | SDS-CH-2212-R1 | 29 Oct 2021 | 29 Oct 2026 | Current |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 Irritant | SDS-CH-2242-R4 | 25 Dec 2023 | 24 Dec 2028 | Current |
| CH-2270 | Glasswash Detergent 20L Corrosive | SDS-CH-2270-R5 | 23 Mar 2024 | 23 Mar 2029 | Current |
| CH-2346 | Drain Cleaner Caustic 5L Corrosive | SDS-CH-2346-R1 | 4 Sep 2022 | 4 Sep 2027 | Current |
| CH-2300 | Plug N Pump Neutral Detergent 1.5L Irritant | SDS-CH-2300-R2 | 24 Aug 2023 | 23 Aug 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.