VERIDIA
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Delivery docket
SO-26-02176
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
Cowra Services Club
Cowra Services Club
Cowra NSW 2794
Attn: Julie Trebilcock
Account
COW01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Tue 21 Jul
Not yet allocated to a run
Dangerous goods — Class 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-2340 | Floor Stripper Heavy Duty 5L [DG 8 UN1824] | 2 x 5L | 8 | $97.20 | $777.60 |
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 5 | $125.40 | $627.00 |
| FP-4082 | Napkin 2ply Dinner White 1/8 Fold | 10 x 250 | 14 | $93.70 | $1,311.80 |
| FP-4032 | Dispensary Cup Lid 30ml | 20 x 100 | 11 | $46.30 | $509.30 |
| WJ-1088 | Clinical Waste Bag Yellow 60L | 10 x 50 | 12 | $82.90 | $994.80 |
| WJ-1040 | Mini Jumbo Toilet Roll 200m | 12 x 200m | 9 | $54.60 | $491.40 |
| CH-2228 | Oven & Grill Cleaner 5L Caustic [DG 8 UN1824] | 2 x 5L | 2 | $82.70 | $165.40 |
| WJ-1136 | Squeegee Floor 600mm with Handle | 1 | 15 | $57.90 | $868.50 |
| Goods ex GST | $5,745.80 |
| GST 10% | $574.58 |
| Total inc GST | $6,320.38 |
76
2
663 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-26-02176 for Cowra Services Club. 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-2340 | Floor Stripper Heavy Duty 5L Corrosive | SDS-CH-2340-R2 | 2 Jul 2021 | 2 Jul 2026 | Expired |
| CH-2284 | Laundry Emulsifier 20L Corrosive | SDS-CH-2284-R5 | 17 Jul 2022 | 17 Jul 2027 | Current |
| CH-2228 | Oven & Grill Cleaner 5L Caustic Corrosive | SDS-CH-2228-R2 | 5 Jun 2022 | 5 Jun 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.