VERIDIA
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Delivery docket
SO-26-02376
Veridia Australia Pty Ltd
ABN 63 004 217 508
14 Gateway Cres, Wacol QLD 4076
(07) 3271 4400 · we.care@veridia.com.au
Deliver to
BlueCare Nambour
BlueCare Queensland
Nambour QLD 4560
Attn: Ian Prosser
Account
BLU01
Terms 45 days EOM
Your PO: BLU-84648
Rep: Grant Whitely
Delivery
Wed 29 Jul
Not yet allocated to a run
Dangerous goods — Class 2.1, 3, 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-3096 | Hand Sanitiser Gel 70% Ethanol 5L [DG 3 UN1170] | 2 x 5L | 11 | $97.20 | $1,069.20 |
| BD-6022 | Glass Rack 25 Compartment | 1 | 14 | $71.90 | $1,006.60 |
| CH-2226 | Heavy Duty Degreaser 5L [DG 8 UN1719] | 2 x 5L | 5 | $62.40 | $312.00 |
| BD-6060 | Table Cover Paper White 1.2 x 30m | 1 x 6 | 8 | $115.90 | $927.20 |
| WJ-1138 | Dustpan & Brush Set Long Handle | 1 | 15 | $41.90 | $628.50 |
| CH-2352 | Chewing Gum Remover Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 2 | $136.60 | $273.20 |
| HP-3020 | Nitrile Glove Long Cuff Black Medium | 10 x 100 | 9 | $101.20 | $910.80 |
| FP-4032 | Dispensary Cup Lid 30ml | 20 x 100 | 12 | $46.30 | $555.60 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 3 | $167.40 | $502.20 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 6 | $49.10 | $294.60 |
| WJ-1088 | Clinical Waste Bag Yellow 60L | 10 x 50 | 8 | $74.30 | $594.40 |
| Goods ex GST | $7,074.30 |
| GST 10% | $707.43 |
| Total inc GST | $7,781.73 |
93
2
602 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-26-02376 for BlueCare Nambour. 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 |
|---|---|---|---|---|---|
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L Flammable liquid | SDS-HP-3096-R5 | 3 Nov 2025 | 3 Nov 2030 | Current |
| CH-2226 | Heavy Duty Degreaser 5L Corrosive | SDS-CH-2226-R1 | 6 May 2025 | 6 May 2030 | Current |
| CH-2352 | Chewing Gum Remover Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2352-R3 | 21 Nov 2023 | 20 Nov 2028 | 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.