VERIDIA
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Delivery docket
SO-26-01972
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
Orange Aquatic Centre
Orange City Council
Orange NSW 2800
Attn: Centre Manager
Account
OCC01
Terms 30 days
Your PO: OCC-93953
Rep: Nadia Kostoglou
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 |
|---|---|---|---|---|---|
| FP-4086 | Straw Paper Wrapped 8mm Black | 20 x 250 | 4 | $96.80 | $387.20 |
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 1 | $246.90 | $246.90 |
| CH-2224 | Cream Cleanser 500ml | 12 x 500ml | 10 | $60.40 | $604.00 |
| CH-2340 | Floor Stripper Heavy Duty 5L [DG 8 UN1824] | 2 x 5L | 7 | $97.20 | $680.40 |
| WJ-1068 | Soap Dispenser 1L Bulk Fill White | 1 | 16 | $30.90 | $494.40 |
| HP-3020 | Nitrile Glove Long Cuff Black Medium | 10 x 100 | 13 | $101.20 | $1,315.60 |
| Goods ex GST | $3,728.50 |
| GST 10% | $372.85 |
| Total inc GST | $4,101.35 |
51
1
320 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-26-01972 for Orange Aquatic 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 |
|---|---|---|---|---|---|
| CH-2224 | Cream Cleanser 500ml Irritant | SDS-CH-2224-R4 | 15 Dec 2021 | 15 Dec 2026 | Current |
| CH-2340 | Floor Stripper Heavy Duty 5L Corrosive | SDS-CH-2340-R2 | 2 Jul 2021 | 2 Jul 2026 | Expired |
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.