VERIDIA
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Delivery docket
SO-26-02085
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
BIG4 Port Macquarie
BIG4 Holiday Parks — East Coast
Port Macquarie NSW 2444
Attn: Wayne Hallett
Account
BIG01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Thu 16 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-2244 | Chlorine Sanitiser 12.5% 20L [DG 8 UN1791] | 1 x 20L | 3 | $66.10 | $198.30 |
| HP-3044 | Vinyl Glove Powder Free Clear Large | 10 x 100 | 6 | $48.80 | $292.80 |
| WJ-1020 | Roll Hand Towel 100m Slimroll | 6 x 100m | 13 | $62.90 | $817.70 |
| CH-2352 | Chewing Gum Remover Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 16 | $136.60 | $2,185.60 |
| HP-3080 | Hair Net Bouffant White 21" | 10 x 100 | 7 | $37.20 | $260.40 |
| WJ-1120 | Scourer Pad Green Heavy Duty 150mm | 10 | 10 | $13.20 | $132.00 |
| FP-4036 | Water Cup 200ml Paper Cold | 20 x 50 | 1 | $66.00 | $66.00 |
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 4 | $125.40 | $501.60 |
| FP-4030 | Dispensary Cup 30ml Clear PP | 20 x 100 | 11 | $62.90 | $691.90 |
| Goods ex GST | $5,146.30 |
| GST 10% | $514.63 |
| Total inc GST | $5,660.93 |
71
2
483 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-26-02085 for BIG4 Port Macquarie. 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-2244 | Chlorine Sanitiser 12.5% 20L Corrosive | SDS-CH-2244-R2 | 19 Aug 2021 | 19 Aug 2026 | Expiring |
| CH-2352 | Chewing Gum Remover Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2352-R3 | 21 Nov 2023 | 20 Nov 2028 | 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.