VERIDIA
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Delivery docket
SO-26-01961
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
Quest Campbelltown
Quest Apartment Hotels
Campbelltown NSW 2560
Attn: Josh Lantry
Account
QST01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Fri 10 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 |
|---|---|---|---|---|---|
| CH-2328 | ELIMO Carpet Extraction Concentrate 5L | 2 x 5L | 8 | $94.30 | $754.40 |
| BD-6018 | Champagne Flute 180ml | 1 x 24 | 5 | $122.90 | $614.50 |
| WJ-1070 | Sanitiser Dispenser Auto Sensor 1L | 1 | 14 | $119.90 | $1,678.60 |
| CH-2220 | Glass & Mirror Cleaner 750ml | 12 x 750ml | 11 | $54.90 | $603.90 |
| CH-2256 | Viraclean Hospital Disinfectant 5L | 2 x 5L | 12 | $136.00 | $1,632.00 |
| HA-5018 | Soap Bar 25g Wrapped | 1 x 500 | 9 | $142.60 | $1,283.40 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 2 | $48.90 | $97.80 |
| WJ-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 15 | $479.90 | $7,198.50 |
| WJ-1150 | Air Freshener Aerosol Metered 270ml [DG 2.1 UN1950] | 12 x 270ml | 16 | $96.90 | $1,550.40 |
| CH-2302 | Plug N Pump Bathroom Cleaner 1.5L [DG 8 UN1805] | 4 x 1.5L | 13 | $116.30 | $1,511.90 |
| Goods ex GST | $16,925.40 |
| GST 10% | $1,692.54 |
| Total inc GST | $18,617.94 |
105
2
978 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-26-01961 for Quest Campbelltown. 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-2328 | ELIMO Carpet Extraction Concentrate 5L Irritant | SDS-CH-2328-R4 | 3 Jan 2025 | 3 Jan 2030 | Current |
| CH-2220 | Glass & Mirror Cleaner 750ml Irritant | SDS-CH-2220-R5 | 31 Jul 2025 | 31 Jul 2030 | Current |
| CH-2256 | Viraclean Hospital Disinfectant 5L Irritant | SDS-CH-2256-R1 | 30 Aug 2021 | 30 Aug 2026 | Expiring |
| WJ-1150 | Air Freshener Aerosol Metered 270ml Flammable gas · Gas under pressure | SDS-WJ-1150-R5 | 25 Sep 2021 | 25 Sep 2026 | Expiring |
| CH-2302 | Plug N Pump Bathroom Cleaner 1.5L Corrosive | SDS-CH-2302-R5 | 16 Jun 2025 | 16 Jun 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.