VERIDIA
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Delivery docket
SO-26-02463
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
SCC Canberra
Southern Cross Care NSW & ACT
Garran ACT 2605
Attn: Jason Halliwell
Account
SLH01
Terms 45 days EOM
Your PO: SLH-93156
Rep: Priya Selvaraj
Delivery
Mon 3 Aug
Run RUN-26-0803-SYD
Driver: Milan Petrovic
Vehicle: CJ42QK
Dangerous goods — Class 2.1, 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-1032 | Toilet Tissue 2ply 700 sheet | 48 x 700 sht | 15 | $78.90 | $1,183.50 |
| CH-2230 | Stainless Steel Polish Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 2 | $96.60 | $193.20 |
| WJ-1062 | Hand Towel Dispenser Autocut Roll | 1 | 9 | $74.90 | $674.10 |
| CH-2264 | Dishwash Rinse Aid 20L [DG 8 UN1805] | 1 x 20L | 12 | $110.60 | $1,327.20 |
| BD-6032 | Side Plate Vitrified White 180mm | 1 x 36 | 11 | $199.90 | $2,198.90 |
| HP-3076 | P2 Respirator Cup Shape Valved | 12 x 20 | 14 | $243.30 | $3,406.20 |
| BD-6064 | Bar Runner Rubber Backed 900mm | 1 | 5 | $31.90 | $159.50 |
| HP-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 8 | $60.50 | $484.00 |
| BD-6054 | Cutlery Dessert Spoon 18/0 | 1 x 12 | 7 | $61.90 | $433.30 |
| Goods ex GST | $10,059.90 |
| GST 10% | $1,005.99 |
| Total inc GST | $11,065.89 |
83
2
875 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-26-02463 for SCC Canberra. 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-2230 | Stainless Steel Polish Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2230-R1 | 27 Apr 2022 | 27 Apr 2027 | Current |
| CH-2264 | Dishwash Rinse Aid 20L Corrosive | SDS-CH-2264-R2 | 6 Apr 2022 | 6 Apr 2027 | Current |
| HP-3100 | Alcohol Wipes Sachet 70% IPA Flammable liquid | SDS-HP-3100-R2 | 15 Jan 2025 | 15 Jan 2030 | 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.