VERIDIA
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Delivery docket
SO-26-02251
Veridia Australia Pty Ltd
ABN 63 004 217 508
6 Kane Rd, Bomen NSW 2650
(02) 6931 7700 · we.care@veridia.com.au
Deliver to
Roshana Griffith
Roshana Care Group
Griffith NSW 2680
Attn: Frank Tesoriero
Account
ROS01
Terms 30 days
Your PO: ROS-46782
Rep: Priya Selvaraj
Delivery
Thu 23 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-2212 | Neutral Floor Detergent 20L Drum | 1 x 20L | 13 | $74.20 | $964.60 |
| BD-6036 | Cup & Saucer Vitrified White 200ml | 1 x 24 | 16 | $234.90 | $3,758.40 |
| HP-3080 | Hair Net Bouffant White 21" | 10 x 100 | 3 | $37.20 | $111.60 |
| FP-4086 | Straw Paper Wrapped 8mm Black | 20 x 250 | 6 | $96.80 | $580.80 |
| CH-2270 | Glasswash Detergent 20L [DG 8 UN1824] | 1 x 20L | 1 | $130.60 | $130.60 |
| Goods ex GST | $5,546.00 |
| GST 10% | $554.60 |
| Total inc GST | $6,100.60 |
39
1
592 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-26-02251 for Roshana Griffith. 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-2212 | Neutral Floor Detergent 20L Drum Irritant | SDS-CH-2212-R1 | 29 Oct 2021 | 29 Oct 2026 | Current |
| CH-2270 | Glasswash Detergent 20L Corrosive | SDS-CH-2270-R5 | 23 Mar 2024 | 23 Mar 2029 | 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.