VERIDIA
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Delivery docket
SO-26-02437
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
Orange Aquatic Centre
Orange City Council
Orange NSW 2800
Attn: Centre Manager
Account
OCC01
Terms 30 days
Your PO: OCC-89349
Rep: Nadia Kostoglou
Delivery
Fri 31 Jul
Not yet allocated to a run
Dangerous goods — Class 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 |
|---|---|---|---|---|---|
| WJ-1152 | Metered Air Freshener Dispenser | 1 | 16 | $48.90 | $782.40 |
| HP-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 13 | $60.50 | $786.50 |
| FP-4026 | Bagasse Plate 230mm Compostable | 10 x 50 | 6 | $88.70 | $532.20 |
| WJ-1050 | Facial Tissue 2ply 200 sheet Cube | 24 x 200 sht | 3 | $40.20 | $120.60 |
| WJ-1084 | Bin Liner 240L Black Heavy Duty | 5 x 50 | 4 | $96.90 | $387.60 |
| HP-3042 | Vinyl Glove Powder Free Clear Medium | 10 x 100 | 1 | $48.80 | $48.80 |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 10 | $429.90 | $4,299.00 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 7 | $49.10 | $343.70 |
| CH-2228 | Oven & Grill Cleaner 5L Caustic [DG 8 UN1824] | 2 x 5L | 8 | $82.70 | $661.60 |
| CH-2344 | Floor Polish High Solids 5L | 2 x 5L | 5 | $121.60 | $608.00 |
| CH-2216 | Bathroom Cleaner Acidic 5L [DG 8 UN1805] | 2 x 5L | 5 | $51.90 | $259.50 |
| HP-3010 | Nitrile Glove Powder Free Blue Small | 10 x 200 | 8 | $87.90 | $703.20 |
| Goods ex GST | $9,533.10 |
| GST 10% | $953.31 |
| Total inc GST | $10,486.41 |
86
2
548 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-26-02437 for Orange Aquatic Centre. 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-3100 | Alcohol Wipes Sachet 70% IPA Flammable liquid | SDS-HP-3100-R2 | 15 Jan 2025 | 15 Jan 2030 | Current |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way Irritant | SDS-CH-2310-R2 | 18 Oct 2023 | 17 Oct 2028 | Current |
| CH-2228 | Oven & Grill Cleaner 5L Caustic Corrosive | SDS-CH-2228-R2 | 5 Jun 2022 | 5 Jun 2027 | Current |
| CH-2344 | Floor Polish High Solids 5L Irritant | SDS-CH-2344-R3 | 24 Jan 2026 | 24 Jan 2031 | Current |
| CH-2216 | Bathroom Cleaner Acidic 5L Corrosive | SDS-CH-2216-R2 | 28 Aug 2021 | 28 Aug 2026 | Expiring |
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.