VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-02004
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-96982
Rep: Nadia Kostoglou
Delivery
Tue 14 Jul
Not yet allocated to a run
Dangerous goods — Class 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 |
|---|---|---|---|---|---|
| WJ-1072 | Dispenser Stand Free-Standing Sanitiser | 1 | 13 | $189.90 | $2,468.70 |
| FP-4050 | Baking Paper 40cm x 100m | 4 | 16 | $88.10 | $1,409.60 |
| CH-2304 | Plug N Pump Glass Cleaner 1.5L | 4 x 1.5L | 3 | $108.40 | $325.20 |
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml [DG 3 UN1170] | 12 x 500ml | 6 | $82.40 | $494.40 |
| WJ-1012 | Compact Hand Towel 90 sheet | 24 x 90 sht | 1 | $44.40 | $44.40 |
| Goods ex GST | $4,742.30 |
| GST 10% | $474.23 |
| Total inc GST | $5,216.53 |
39
1
322 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-26-02004 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-2304 | Plug N Pump Glass Cleaner 1.5L Irritant | SDS-CH-2304-R1 | 22 Mar 2025 | 22 Mar 2030 | Current |
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml Flammable liquid | SDS-HP-3094-R2 | 11 Sep 2021 | 11 Sep 2026 | Expiring |
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.