VERIDIA
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Delivery docket
SO-26-02443
Veridia Australia Pty Ltd
ABN 63 004 217 508
9 Stanton Rd, Ingleburn NSW 2565
(02) 9605 3300 · we.care@veridia.com.au
Deliver to
RSL Narrabeen
RSL LifeCare
Narrabeen NSW 2101
Attn: Colin Mawson
Account
RSL01
Terms 45 days EOM
Your PO: RSL-96394
Rep: Priya Selvaraj
Delivery
Fri 31 Jul
Not yet allocated to a run
Dangerous goods — Class 3
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-2240 | Hospital Grade Disinfectant 5L TGA | 2 x 5L | 1 | $88.30 | $88.30 |
| BD-6066 | Serving Tray Non-Slip 450x350 | 1 | 4 | $41.90 | $167.60 |
| FP-4030 | Dispensary Cup 30ml Clear PP | 20 x 100 | 7 | $62.90 | $440.30 |
| WJ-1136 | Squeegee Floor 600mm with Handle | 1 | 10 | $57.90 | $579.00 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 13 | $167.10 | $2,172.30 |
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 16 | $246.90 | $3,950.40 |
| CH-2320 | ELIMO Odour Neutraliser 5L | 2 x 5L | 3 | $96.60 | $289.80 |
| Goods ex GST | $7,687.70 |
| GST 10% | $768.77 |
| Total inc GST | $8,456.47 |
54
2
378 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-26-02443 for RSL Narrabeen. 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-2240 | Hospital Grade Disinfectant 5L TGA Irritant | SDS-CH-2240-R1 | 18 Nov 2025 | 18 Nov 2030 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 2030 | Current |
| CH-2320 | ELIMO Odour Neutraliser 5L Irritant | SDS-CH-2320-R1 | 8 Nov 2021 | 8 Nov 2026 | 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.