VERIDIA
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Delivery docket
SO-26-02393
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
SCC Bathurst
Southern Cross Care NSW & ACT
Bathurst NSW 2795
Attn: Nerida Ford
Account
SLH01
Terms 45 days EOM
Your PO: SLH-57463
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 |
|---|---|---|---|---|---|
| BD-6030 | Dinner Plate Vitrified White 255mm | 1 x 24 | 6 | $224.90 | $1,349.40 |
| HP-3098 | Barrier Cream Silicone 500ml Pump | 6 x 500ml | 3 | $76.50 | $229.50 |
| BD-6062 | Placemat Paper White 300x400 | 1 x 2000 | 16 | $99.90 | $1,598.40 |
| CH-2228 | Oven & Grill Cleaner 5L Caustic [DG 8 UN1824] | 2 x 5L | 13 | $82.70 | $1,075.10 |
| WJ-1030 | Toilet Tissue 2ply 400 sheet | 48 x 400 sht | 10 | $50.60 | $506.00 |
| CH-2262 | Machine Dishwash Liquid 20L [DG 8 UN1824] | 1 x 20L | 7 | $97.20 | $680.40 |
| Goods ex GST | $5,438.80 |
| GST 10% | $543.88 |
| Total inc GST | $5,982.68 |
55
1
779 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-26-02393 for SCC Bathurst. 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-2228 | Oven & Grill Cleaner 5L Caustic Corrosive | SDS-CH-2228-R2 | 5 Jun 2022 | 5 Jun 2027 | Current |
| CH-2262 | Machine Dishwash Liquid 20L Corrosive | SDS-CH-2262-R3 | 10 Jan 2022 | 10 Jan 2027 | 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.