VERIDIA
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Delivery docket
SO-26-02214
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 Forbes
UPA Central West
Forbes NSW 2871
Attn: Sue Hetherington
Account
UPA01
Terms 30 days
Your PO: —
Rep: Priya Selvaraj
Delivery
Wed 22 Jul
Not yet allocated to a run
Dangerous goods — Class 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 |
|---|---|---|---|---|---|
| CH-2320 | ELIMO Odour Neutraliser 5L | 2 x 5L | 16 | $96.60 | $1,545.60 |
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 13 | $246.90 | $3,209.70 |
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 6 | $125.40 | $752.40 |
| WJ-1072 | Dispenser Stand Free-Standing Sanitiser | 1 | 3 | $189.90 | $569.70 |
| FP-4030 | Dispensary Cup 30ml Clear PP | 20 x 100 | 4 | $62.90 | $251.60 |
| HP-3016 | Nitrile Glove Powder Free Blue XL | 10 x 200 | 1 | $87.90 | $87.90 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 10 | $167.10 | $1,671.00 |
| WJ-1136 | Squeegee Floor 600mm with Handle | 1 | 7 | $57.90 | $405.30 |
| HP-3086 | Safety Glasses Clear Anti-Fog | 12 | 8 | $56.90 | $455.20 |
| BD-6050 | Cutlery Table Knife 18/0 | 1 x 12 | 5 | $72.90 | $364.50 |
| Goods ex GST | $9,312.90 |
| GST 10% | $931.29 |
| Total inc GST | $10,244.19 |
73
2
606 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-26-02214 for UPA Forbes. 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-2320 | ELIMO Odour Neutraliser 5L Irritant | SDS-CH-2320-R1 | 8 Nov 2021 | 8 Nov 2026 | Current |
| CH-2284 | Laundry Emulsifier 20L Corrosive | SDS-CH-2284-R5 | 17 Jul 2022 | 17 Jul 2027 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 2030 | 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.