VERIDIA
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Delivery docket
SO-26-01997
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
SCC Canberra
Southern Cross Care NSW & ACT
Garran ACT 2605
Attn: Jason Halliwell
Account
SLH01
Terms 45 days EOM
Your PO: SLH-65437
Rep: Priya Selvaraj
Delivery
Mon 13 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 | 8 | $88.10 | $704.80 |
| WJ-1042 | Compact Coreless Toilet Tissue 850 sht | 36 x 850 sht | 5 | $88.90 | $444.50 |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml [DG 8 UN1805] | 12 x 750ml | 14 | $62.90 | $880.60 |
| WJ-1014 | Interleaved Hand Towel Premium | 16 x 150 sht | 11 | $58.60 | $644.60 |
| CH-2320 | ELIMO Odour Neutraliser 5L | 2 x 5L | 12 | $96.60 | $1,159.20 |
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 9 | $246.90 | $2,222.10 |
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 2 | $125.40 | $250.80 |
| WJ-1072 | Dispenser Stand Free-Standing Sanitiser | 1 | 15 | $189.90 | $2,848.50 |
| FP-4030 | Dispensary Cup 30ml Clear PP | 20 x 100 | 16 | $62.90 | $1,006.40 |
| HP-3016 | Nitrile Glove Powder Free Blue XL | 10 x 200 | 13 | $87.90 | $1,142.70 |
| Goods ex GST | $11,304.20 |
| GST 10% | $1,130.42 |
| Total inc GST | $12,434.62 |
105
2
1,005 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-26-01997 for SCC Canberra. 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 |
| CH-2320 | ELIMO Odour Neutraliser 5L Irritant | SDS-CH-2320-R1 | 8 Nov 2021 | 8 Nov 2026 | Current |
| CH-2284 | Laundry Emulsifier 20L Corrosive | SDS-CH-2284-R5 | 17 Jul 2022 | 17 Jul 2027 | 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.