VERIDIA
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Delivery docket
SO-26-02457
Veridia Australia Pty Ltd
ABN 63 004 217 508
6 Kane Rd, Bomen NSW 2650
(02) 6931 7700 · we.care@veridia.com.au
Deliver to
Roshana Griffith
Roshana Care Group
Griffith NSW 2680
Attn: Frank Tesoriero
Account
ROS01
Terms 30 days
Your PO: ROS-74953
Rep: Priya Selvaraj
Delivery
Mon 3 Aug
Run RUN-26-0803-WGA
Driver: Dylan Reith
Vehicle: EB55TX
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-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 12 | $246.90 | $2,962.80 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 9 | $167.10 | $1,503.90 |
| WJ-1072 | Dispenser Stand Free-Standing Sanitiser | 1 | 2 | $189.90 | $379.80 |
| CH-2320 | ELIMO Odour Neutraliser 5L | 2 x 5L | 15 | $96.60 | $1,449.00 |
| WJ-1042 | Compact Coreless Toilet Tissue 850 sht | 36 x 850 sht | 8 | $88.90 | $711.20 |
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 5 | $125.40 | $627.00 |
| Goods ex GST | $7,633.70 |
| GST 10% | $763.37 |
| Total inc GST | $8,397.07 |
51
1
626 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-26-02457 for Roshana Griffith. 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-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 |
| CH-2284 | Laundry Emulsifier 20L Corrosive | SDS-CH-2284-R5 | 17 Jul 2022 | 17 Jul 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.