VERIDIA
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Delivery docket
SO-26-02421
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
Bolton Clarke Cleveland
Bolton Clarke Residential
Cleveland QLD 4163
Attn: Michael Ansell
Account
BUP01
Terms 45 days EOM
Your PO: BUP-76636
Rep: Grant Whitely
Delivery
Fri 31 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-2302 | Plug N Pump Bathroom Cleaner 1.5L [DG 8 UN1805] | 4 x 1.5L | 7 | $116.30 | $814.10 |
| WJ-1060 | Hand Towel Dispenser Interleaved ABS White | 1 | 10 | $34.90 | $349.00 |
| CH-2330 | ELIMO Carpet Spotter 750ml | 12 x 750ml | 1 | $88.10 | $88.10 |
| WJ-1088 | Clinical Waste Bag Yellow 60L | 10 x 50 | 4 | $82.90 | $331.60 |
| CH-2228 | Oven & Grill Cleaner 5L Caustic [DG 8 UN1824] | 2 x 5L | 3 | $82.70 | $248.10 |
| BD-6062 | Placemat Paper White 300x400 | 1 x 2000 | 6 | $99.90 | $599.40 |
| CH-2262 | Machine Dishwash Liquid 20L [DG 8 UN1824] | 1 x 20L | 13 | $97.20 | $1,263.60 |
| WJ-1030 | Toilet Tissue 2ply 400 sheet | 48 x 400 sht | 16 | $50.00 | $800.00 |
| HP-3074 | P2 Respirator Flat Fold Unvalved | 20 x 20 | 15 | $209.70 | $3,145.50 |
| Goods ex GST | $7,639.40 |
| GST 10% | $763.94 |
| Total inc GST | $8,403.34 |
75
2
814 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-26-02421 for Bolton Clarke Cleveland. 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-2302 | Plug N Pump Bathroom Cleaner 1.5L Corrosive | SDS-CH-2302-R5 | 16 Jun 2025 | 16 Jun 2030 | Current |
| CH-2330 | ELIMO Carpet Spotter 750ml Irritant | SDS-CH-2330-R5 | 11 Feb 2025 | 11 Feb 2030 | Current |
| 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.