VERIDIA
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Delivery docket
SO-26-02375
Veridia Australia Pty Ltd
ABN 63 004 217 508
6 Kane Rd, Bomen NSW 2650
(02) 6931 7700 · we.care@veridia.com.au
Deliver to
Coolamon Shire Aged Care
Coolamon Shire Aged Care
Coolamon NSW 2701
Attn: Anne Wishart
Account
COO01
Terms 30 days
Your PO: —
Rep: Priya Selvaraj
Delivery
Wed 29 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-2304 | Plug N Pump Glass Cleaner 1.5L | 4 x 1.5L | 3 | $108.40 | $325.20 |
| WJ-1062 | Hand Towel Dispenser Autocut Roll | 1 | 6 | $74.90 | $449.40 |
| CH-2340 | Floor Stripper Heavy Duty 5L [DG 8 UN1824] | 2 x 5L | 13 | $97.20 | $1,263.60 |
| Goods ex GST | $2,038.20 |
| GST 10% | $203.82 |
| Total inc GST | $2,242.02 |
22
1
176 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-26-02375 for Coolamon Shire Aged Care. 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-2304 | Plug N Pump Glass Cleaner 1.5L Irritant | SDS-CH-2304-R1 | 22 Mar 2025 | 22 Mar 2030 | Current |
| CH-2340 | Floor Stripper Heavy Duty 5L Corrosive | SDS-CH-2340-R2 | 2 Jul 2021 | 2 Jul 2026 | Expired |
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.