VERIDIA
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Delivery docket
SO-26-02211
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 Civic Centre
Orange City Council
Orange NSW 2800
Attn: Depot Store
Account
OCC01
Terms 30 days
Your PO: OCC-69627
Rep: Nadia Kostoglou
Delivery
Wed 22 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 |
|---|---|---|---|---|---|
| WJ-1016 | Slimfold Hand Towel | 16 x 90 sht | 10 | $53.90 | $539.00 |
| WJ-1116 | Microfibre Cloth 40x40 Green | 10 | 7 | $16.40 | $114.80 |
| HP-3076 | P2 Respirator Cup Shape Valved | 12 x 20 | 4 | $243.30 | $973.20 |
| CH-2280 | Laundry Powder Commercial 15kg | 1 x 15kg | 1 | $88.10 | $88.10 |
| WJ-1082 | Bin Liner 82L Black 30mu | 10 x 50 | 6 | $53.80 | $322.80 |
| HP-3040 | Vinyl Glove Powder Free Clear Small | 10 x 100 | 3 | $48.80 | $146.40 |
| CH-2240 | Hospital Grade Disinfectant 5L TGA | 2 x 5L | 16 | $97.20 | $1,555.20 |
| CH-2348 | Descaler Acidic Concentrate 5L [DG 8 UN1789] | 2 x 5L | 13 | $68.60 | $891.80 |
| WJ-1150 | Air Freshener Aerosol Metered 270ml [DG 2.1 UN1950] | 12 x 270ml | 2 | $96.90 | $193.80 |
| HP-3098 | Barrier Cream Silicone 500ml Pump | 6 x 500ml | 15 | $76.50 | $1,147.50 |
| Goods ex GST | $5,972.60 |
| GST 10% | $597.26 |
| Total inc GST | $6,569.86 |
77
2
578 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-26-02211 for Orange Civic 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-2280 | Laundry Powder Commercial 15kg Irritant | SDS-CH-2280-R1 | 18 Dec 2020 | 18 Dec 2025 | Expired |
| CH-2240 | Hospital Grade Disinfectant 5L TGA Irritant | SDS-CH-2240-R1 | 18 Nov 2025 | 18 Nov 2030 | Current |
| CH-2348 | Descaler Acidic Concentrate 5L Corrosive | SDS-CH-2348-R5 | 5 Aug 2025 | 5 Aug 2030 | Current |
| WJ-1150 | Air Freshener Aerosol Metered 270ml Flammable gas · Gas under pressure | SDS-WJ-1150-R5 | 25 Sep 2021 | 25 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.