VERIDIA
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Delivery docket
SO-26-02257
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
Wellington Correctional Centre
Corrective Services NSW — Western
Wellington NSW 2820
Attn: Stores Officer
Account
CSC01
Terms 45 days EOM
Your PO: CSC-98505
Rep: Nadia Kostoglou
Delivery
Fri 24 Jul
Not yet allocated to a run
Dangerous goods — Class 3
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-4012 | Foam Container Burger Clam Large | 4 x 125 | 4 | $54.90 | $219.60 |
| WJ-1030 | Toilet Tissue 2ply 400 sheet | 48 x 400 sht | 1 | $55.90 | $55.90 |
| HP-3052 | Rubber Glove Household Yellow Medium | 12 pr | 10 | $52.90 | $529.00 |
| CH-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 7 | $88.10 | $616.70 |
| FP-4068 | Cutlery Kit Wrapped Knife/Fork/Napkin | 1 x 250 | 16 | $74.20 | $1,187.20 |
| WJ-1090 | Sanitary Disposal Bag Opaque | 20 x 100 | 13 | $37.90 | $492.70 |
| CH-2214 | Multi-Purpose Neutral Detergent 5L | 2 x 5L | 6 | $44.00 | $264.00 |
| CH-2322 | ELIMO Enzyme Digestant 5L | 2 x 5L | 3 | $111.40 | $334.20 |
| Goods ex GST | $3,699.30 |
| GST 10% | $369.93 |
| Total inc GST | $4,069.23 |
60
1
393 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-26-02257 for Wellington Correctional 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-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 2026 | Current |
| CH-2214 | Multi-Purpose Neutral Detergent 5L Irritant | SDS-CH-2214-R5 | 14 Jun 2021 | 14 Jun 2026 | Expired |
| CH-2322 | ELIMO Enzyme Digestant 5L Irritant | SDS-CH-2322-R3 | 30 Mar 2025 | 30 Mar 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.