VERIDIA
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Delivery docket
SO-26-02145
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 Molong
UPA Central West
Molong NSW 2866
Attn: Robyn Guest
Account
UPA01
Terms 30 days
Your PO: —
Rep: Priya Selvaraj
Delivery
Mon 20 Jul
Not yet allocated to a run
Dangerous goods — Class 2.1
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-2326 | ELIMO Drain & Grease Trap Treatment 5L | 2 x 5L | 14 | $119.40 | $1,671.60 |
| WJ-1114 | Microfibre Cloth 40x40 Red | 10 | 11 | $16.40 | $180.40 |
| FP-4012 | Foam Container Burger Clam Large | 4 x 125 | 8 | $54.90 | $439.20 |
| WJ-1150 | Air Freshener Aerosol Metered 270ml [DG 2.1 UN1950] | 12 x 270ml | 5 | $96.90 | $484.50 |
| FP-4036 | Water Cup 200ml Paper Cold | 20 x 50 | 2 | $66.00 | $132.00 |
| HP-3030 | Nitrile Exam Glove Micro-Touch Medium | 10 x 100 | 15 | $126.40 | $1,896.00 |
| FP-4066 | Cutlery Teaspoon PP White | 20 x 100 | 12 | $40.10 | $481.20 |
| HP-3066 | PVC Apron Heavy Duty White | 10 | 9 | $68.90 | $620.10 |
| BD-6018 | Champagne Flute 180ml | 1 x 24 | 6 | $122.90 | $737.40 |
| HP-3092 | Hand Soap Liquid Antibacterial 5L | 2 x 5L | 3 | $60.10 | $180.30 |
| CH-2256 | Viraclean Hospital Disinfectant 5L | 2 x 5L | 15 | $136.00 | $2,040.00 |
| WJ-1020 | Roll Hand Towel 100m Slimroll | 6 x 100m | 2 | $62.90 | $125.80 |
| Goods ex GST | $8,988.50 |
| GST 10% | $898.85 |
| Total inc GST | $9,887.35 |
102
2
697 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-26-02145 for UPA Molong. 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-2326 | ELIMO Drain & Grease Trap Treatment 5L Irritant | SDS-CH-2326-R4 | 1 Sep 2023 | 31 Aug 2028 | Current |
| WJ-1150 | Air Freshener Aerosol Metered 270ml Flammable gas · Gas under pressure | SDS-WJ-1150-R5 | 25 Sep 2021 | 25 Sep 2026 | Expiring |
| CH-2256 | Viraclean Hospital Disinfectant 5L Irritant | SDS-CH-2256-R1 | 30 Aug 2021 | 30 Aug 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.