VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-02230
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 Works Depot
Orange City Council
Orange NSW 2800
Attn: Stores
Account
OCC01
Terms 30 days
Your PO: OCC-84163
Rep: Nadia Kostoglou
Delivery
Thu 23 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 |
|---|---|---|---|---|---|
| HP-3080 | Hair Net Bouffant White 21" | 10 x 100 | 2 | $37.20 | $74.40 |
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 15 | $125.40 | $1,881.00 |
| FP-4036 | Water Cup 200ml Paper Cold | 20 x 50 | 12 | $66.00 | $792.00 |
| WJ-1060 | Hand Towel Dispenser Interleaved ABS White | 1 | 9 | $34.90 | $314.10 |
| CH-2244 | Chlorine Sanitiser 12.5% 20L [DG 8 UN1791] | 1 x 20L | 14 | $66.10 | $925.40 |
| CH-2352 | Chewing Gum Remover Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 11 | $136.60 | $1,502.60 |
| Goods ex GST | $5,489.50 |
| GST 10% | $548.95 |
| Total inc GST | $6,038.45 |
63
2
785 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-26-02230 for Orange Works Depot. 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-2284 | Laundry Emulsifier 20L Corrosive | SDS-CH-2284-R5 | 17 Jul 2022 | 17 Jul 2027 | Current |
| CH-2244 | Chlorine Sanitiser 12.5% 20L Corrosive | SDS-CH-2244-R2 | 19 Aug 2021 | 19 Aug 2026 | Expiring |
| CH-2352 | Chewing Gum Remover Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2352-R3 | 21 Nov 2023 | 20 Nov 2028 | 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.