VERIDIA
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Delivery docket
SO-26-02288
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
UPA Orange
UPA Central West
Orange NSW 2800
Attn: Bev Antcliff
Account
UPA01
Terms 30 days
Your PO: UPA-76886
Rep: Priya Selvaraj
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 |
|---|---|---|---|---|---|
| WJ-1116 | Microfibre Cloth 40x40 Green | 10 | 5 | $16.40 | $82.00 |
| CH-2328 | ELIMO Carpet Extraction Concentrate 5L | 2 x 5L | 8 | $94.30 | $754.40 |
| WJ-1086 | Bin Liner 27L Kitchen Tidy White | 20 x 50 | 11 | $34.90 | $383.90 |
| CH-2300 | Plug N Pump Neutral Detergent 1.5L | 4 x 1.5L | 14 | $105.30 | $1,474.20 |
| HP-3032 | Nitrile Exam Glove Micro-Touch Large | 10 x 100 | 9 | $126.40 | $1,137.60 |
| FP-4040 | Paper Bag Flat #4 Brown | 10 x 500 | 12 | $60.50 | $726.00 |
| WJ-1152 | Metered Air Freshener Dispenser | 1 | 15 | $48.90 | $733.50 |
| FP-4014 | Foil Container Rectangular 1 Portion | 10 x 100 | 2 | $79.50 | $159.00 |
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml [DG 3 UN1170] | 12 x 500ml | 13 | $82.40 | $1,071.20 |
| Goods ex GST | $6,521.80 |
| GST 10% | $652.18 |
| Total inc GST | $7,173.98 |
89
2
570 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-26-02288 for UPA Orange. 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-2328 | ELIMO Carpet Extraction Concentrate 5L Irritant | SDS-CH-2328-R4 | 3 Jan 2025 | 3 Jan 2030 | Current |
| CH-2300 | Plug N Pump Neutral Detergent 1.5L Irritant | SDS-CH-2300-R2 | 24 Aug 2023 | 23 Aug 2028 | Current |
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml Flammable liquid | SDS-HP-3094-R2 | 11 Sep 2021 | 11 Sep 2026 | Expiring |
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.