VERIDIA
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Delivery docket
SO-26-02192
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
Wed 22 Jul
Not yet allocated to a run
Dangerous goods — Class 2.1, 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 |
|---|---|---|---|---|---|
| FP-4032 | Dispensary Cup Lid 30ml | 20 x 100 | 12 | $46.30 | $555.60 |
| HP-3020 | Nitrile Glove Long Cuff Black Medium | 10 x 100 | 9 | $101.20 | $910.80 |
| CH-2352 | Chewing Gum Remover Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 2 | $136.60 | $273.20 |
| WJ-1138 | Dustpan & Brush Set Long Handle | 1 | 15 | $41.90 | $628.50 |
| CH-2322 | ELIMO Enzyme Digestant 5L | 2 x 5L | 8 | $111.40 | $891.20 |
| WJ-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 5 | $479.90 | $2,399.50 |
| CH-2286 | Laundry Sour / Neutraliser 20L [DG 8 UN1805] | 1 x 20L | 14 | $96.50 | $1,351.00 |
| WJ-1080 | Bin Liner 36L Clear Natural 18mu | 20 x 50 | 11 | $45.90 | $504.90 |
| WJ-1014 | Interleaved Hand Towel Premium | 16 x 150 sht | 4 | $58.60 | $234.40 |
| CH-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 1 | $88.10 | $88.10 |
| Goods ex GST | $7,837.20 |
| GST 10% | $783.72 |
| Total inc GST | $8,620.92 |
81
2
775 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-26-02192 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-2352 | Chewing Gum Remover Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2352-R3 | 21 Nov 2023 | 20 Nov 2028 | Current |
| CH-2322 | ELIMO Enzyme Digestant 5L Irritant | SDS-CH-2322-R3 | 30 Mar 2025 | 30 Mar 2030 | Current |
| CH-2286 | Laundry Sour / Neutraliser 20L Corrosive | SDS-CH-2286-R3 | 9 May 2024 | 9 May 2029 | Current |
| CH-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 2026 | 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.