VERIDIA
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Delivery docket
SO-26-02459
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 Carseldine
Bolton Clarke Residential
Carseldine QLD 4034
Attn: Vicky Nguyen
Account
BUP01
Terms 45 days EOM
Your PO: BUP-70316
Rep: Grant Whitely
Delivery
Mon 3 Aug
Run RUN-26-0803-BNE
Driver: Rob Sanderson
Vehicle: 912WQC
Dangerous goods — Class 2.1, 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 |
|---|---|---|---|---|---|
| HP-3030 | Nitrile Exam Glove Micro-Touch Medium | 10 x 100 | 15 | $126.40 | $1,896.00 |
| FP-4036 | Water Cup 200ml Paper Cold | 20 x 50 | 2 | $66.00 | $132.00 |
| HP-3066 | PVC Apron Heavy Duty White | 10 | 9 | $68.90 | $620.10 |
| FP-4066 | Cutlery Teaspoon PP White | 20 x 100 | 12 | $40.10 | $481.20 |
| WJ-1114 | Microfibre Cloth 40x40 Red | 10 | 11 | $16.40 | $180.40 |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L | 2 x 5L | 14 | $119.40 | $1,671.60 |
| WJ-1150 | Air Freshener Aerosol Metered 270ml [DG 2.1 UN1950] | 12 x 270ml | 5 | $96.90 | $484.50 |
| FP-4012 | Foam Container Burger Clam Large | 4 x 125 | 8 | $54.90 | $439.20 |
| CH-2254 | Instrument Grade Disinfectant 5L [DG 8 UN1760] | 2 x 5L | 7 | $210.10 | $1,470.70 |
| Goods ex GST | $7,375.70 |
| GST 10% | $737.57 |
| Total inc GST | $8,113.27 |
83
2
504 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-26-02459 for Bolton Clarke Carseldine. 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-2326 | ELIMO Drain & Grease Trap Treatment 5L Irritant | SDS-CH-2326-R4 | 1 Sep 2023 | 31 Aug 2028 | Current |
| WJ-1150 | Air Freshener Aerosol Metered 270ml Flammable gas · Gas under pressure | SDS-WJ-1150-R5 | 25 Sep 2021 | 25 Sep 2026 | Expiring |
| CH-2254 | Instrument Grade Disinfectant 5L Corrosive | SDS-CH-2254-R4 | 23 Jun 2023 | 22 Jun 2028 | 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.