VERIDIA
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Delivery docket
SO-26-02282
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 Aquatic Centre
Orange City Council
Orange NSW 2800
Attn: Centre Manager
Account
OCC01
Terms 30 days
Your PO: OCC-79915
Rep: Nadia Kostoglou
Delivery
Fri 24 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 |
|---|---|---|---|---|---|
| HP-3070 | Surgical Mask Level 2 Earloop Blue | 40 x 50 | 2 | $88.10 | $176.20 |
| CH-2264 | Dishwash Rinse Aid 20L [DG 8 UN1805] | 1 x 20L | 15 | $110.60 | $1,659.00 |
| FP-4024 | Bagasse Bowl 500ml Compostable | 10 x 50 | 12 | $96.50 | $1,158.00 |
| WJ-1042 | Compact Coreless Toilet Tissue 850 sht | 36 x 850 sht | 9 | $88.90 | $800.10 |
| CH-2226 | Heavy Duty Degreaser 5L [DG 8 UN1719] | 2 x 5L | 14 | $62.40 | $873.60 |
| CH-2342 | Floor Seal Acrylic 5L | 2 x 5L | 11 | $110.60 | $1,216.60 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 8 | $48.90 | $391.20 |
| WJ-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 5 | $479.90 | $2,399.50 |
| Goods ex GST | $8,674.20 |
| GST 10% | $867.42 |
| Total inc GST | $9,541.62 |
76
2
992 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-26-02282 for Orange Aquatic 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-2264 | Dishwash Rinse Aid 20L Corrosive | SDS-CH-2264-R2 | 6 Apr 2022 | 6 Apr 2027 | Current |
| CH-2226 | Heavy Duty Degreaser 5L Corrosive | SDS-CH-2226-R1 | 6 May 2025 | 6 May 2030 | Current |
| CH-2342 | Floor Seal Acrylic 5L Irritant | SDS-CH-2342-R5 | 2 Apr 2024 | 2 Apr 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.