VERIDIA
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Delivery docket
SO-26-02450
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
Opal Hornsby
Opal HealthCare NSW
Hornsby NSW 2077
Attn: Paul Vickery
Account
OPL01
Terms 30 days
Your PO: OPL-91778
Rep: Priya Selvaraj
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-1042 | Compact Coreless Toilet Tissue 850 sht | 36 x 850 sht | 1 | $88.90 | $88.90 |
| CH-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 4 | $88.10 | $352.40 |
| WJ-1014 | Interleaved Hand Towel Premium | 16 x 150 sht | 7 | $58.60 | $410.20 |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml [DG 8 UN1805] | 12 x 750ml | 10 | $62.90 | $629.00 |
| BD-6050 | Cutlery Table Knife 18/0 | 1 x 12 | 13 | $72.90 | $947.70 |
| HP-3086 | Safety Glasses Clear Anti-Fog | 12 | 16 | $56.90 | $910.40 |
| BD-6014 | Highball Glass 340ml | 1 x 48 | 3 | $126.90 | $380.70 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 6 | $167.40 | $1,004.40 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 9 | $49.10 | $441.90 |
| HP-3020 | Nitrile Glove Long Cuff Black Medium | 10 x 100 | 12 | $101.20 | $1,214.40 |
| CH-2282 | Laundry Liquid Commercial 20L | 1 x 20L | 10 | $105.30 | $1,053.00 |
| Goods ex GST | $7,433.00 |
| GST 10% | $743.30 |
| Total inc GST | $8,176.30 |
91
2
753 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-26-02450 for Opal Hornsby. 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-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 2026 | Current |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml Corrosive | SDS-CH-2218-R2 | 4 Aug 2021 | 4 Aug 2026 | Expiring |
| CH-2282 | Laundry Liquid Commercial 20L Irritant | SDS-CH-2282-R4 | 11 Oct 2022 | 11 Oct 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.