VERIDIA
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Delivery docket
SO-26-02321
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-72751
Rep: Priya Selvaraj
Delivery
Tue 28 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-2308 | Plug N Pump Degreaser 1.5L [DG 8 UN1719] | 4 x 1.5L | 14 | $125.40 | $1,755.60 |
| WJ-1102 | Mop Head Microfibre Flat 40cm | 1 | 11 | $20.90 | $229.90 |
| CH-2344 | Floor Polish High Solids 5L | 2 x 5L | 8 | $121.60 | $972.80 |
| WJ-1130 | Broom Head Soft Bristle 450mm | 1 | 5 | $28.40 | $142.00 |
| Goods ex GST | $3,100.30 |
| GST 10% | $310.03 |
| Total inc GST | $3,410.33 |
38
1
189 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-26-02321 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-2308 | Plug N Pump Degreaser 1.5L Corrosive | SDS-CH-2308-R4 | 10 Sep 2025 | 10 Sep 2030 | Current |
| CH-2344 | Floor Polish High Solids 5L Irritant | SDS-CH-2344-R3 | 24 Jan 2026 | 24 Jan 2031 | 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.