VERIDIA
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Delivery docket
SO-26-02285
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 Ex-Services Club
Orange Ex-Services Club
Orange NSW 2800
Attn: Karen Tickle
Account
ORA01
Terms 30 days
Your PO: —
Rep: Beau Harrington
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 |
|---|---|---|---|---|---|
| CH-2246 | Quaternary Sanitiser Food Grade 5L [DG 8 UN1760] | 2 x 5L | 3 | $77.10 | $231.30 |
| CH-2302 | Plug N Pump Bathroom Cleaner 1.5L [DG 8 UN1805] | 4 x 1.5L | 6 | $116.30 | $697.80 |
| WJ-1106 | Mop Bucket & Wringer 15L Yellow | 1 | 13 | $104.90 | $1,363.70 |
| WJ-1154 | Urinal Screen Deodoriser 30 Day | 10 | 16 | $52.40 | $838.40 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 7 | $48.90 | $342.30 |
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 10 | $95.90 | $959.00 |
| BD-6022 | Glass Rack 25 Compartment | 1 | 1 | $71.90 | $71.90 |
| CA-7012 | Coffee Beans Organic Blend 1kg | 6 x 1kg | 4 | $238.90 | $955.60 |
| WJ-1090 | Sanitary Disposal Bag Opaque | 20 x 100 | 11 | $37.90 | $416.90 |
| Goods ex GST | $5,876.90 |
| GST 10% | $587.69 |
| Total inc GST | $6,464.59 |
71
2
386 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-26-02285 for Orange Ex-Services Club. 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-2246 | Quaternary Sanitiser Food Grade 5L Corrosive | SDS-CH-2246-R5 | 3 Feb 2026 | 3 Feb 2031 | Current |
| CH-2302 | Plug N Pump Bathroom Cleaner 1.5L Corrosive | SDS-CH-2302-R5 | 16 Jun 2025 | 16 Jun 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.