VERIDIA
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Delivery docket
SO-26-01993
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 Dubbo
UPA Central West
Dubbo NSW 2830
Attn: Craig Ellery
Account
UPA01
Terms 30 days
Your PO: UPA-93564
Rep: Priya Selvaraj
Delivery
Mon 13 Jul
Not yet allocated to a run
Dangerous goods: Class 2.1, 3
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-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 7 | $60.50 | $423.50 |
| BD-6032 | Side Plate Vitrified White 180mm | 1 x 36 | 10 | $199.90 | $1,999.00 |
| CH-2230 | Stainless Steel Polish Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 1 | $96.60 | $96.60 |
| BD-6064 | Bar Runner Rubber Backed 900mm | 1 | 4 | $31.90 | $127.60 |
| CH-2312 | Plug N Pump Spray Bottle & Trigger Set | 6 | 3 | $35.90 | $107.70 |
| WJ-1070 | Sanitiser Dispenser Auto Sensor 1L | 1 | 6 | $119.90 | $719.40 |
| HP-3076 | P2 Respirator Cup Shape Valved | 12 x 20 | 13 | $243.30 | $3,162.90 |
| Goods ex GST | $6,636.70 |
| GST 10% | $663.67 |
| Total inc GST | $7,300.37 |
44
1
289 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-26-01993 for UPA Dubbo. 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 |
|---|---|---|---|---|---|
| HP-3100 | Alcohol Wipes Sachet 70% IPA Flammable liquid | SDS-HP-3100-R2 | 15 Jan 2025 | 15 Jan 2030 | Current |
| CH-2230 | Stainless Steel Polish Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2230-R1 | 27 Apr 2022 | 27 Apr 2027 | Current |
| CH-2312 | Plug N Pump Spray Bottle & Trigger Set Irritant | SDS-CH-2312-R4 | 25 Dec 2021 | 25 Dec 2026 | 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.