VERIDIA
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Delivery docket
SO-26-02472
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-74364
Rep: Priya Selvaraj
Delivery
Mon 3 Aug
Run RUN-26-0803-SYD
Driver: Milan Petrovic
Vehicle: CJ42QK
Dangerous goods — Class 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 |
|---|---|---|---|---|---|
| CH-2346 | Drain Cleaner Caustic 5L [DG 8 UN1824] | 2 x 5L | 7 | $77.30 | $541.10 |
| WJ-1104 | Mop Handle Aluminium 1500mm | 1 | 10 | $24.60 | $246.00 |
| FP-4024 | Bagasse Bowl 500ml Compostable | 10 x 50 | 1 | $96.50 | $96.50 |
| WJ-1132 | Broom Head Stiff Bristle 300mm | 1 | 4 | $23.40 | $93.60 |
| CH-2280 | Laundry Powder Commercial 15kg | 1 x 15kg | 3 | $88.10 | $264.30 |
| WJ-1038 | Jumbo Toilet Roll 500m 1ply | 6 x 500m | 6 | $64.90 | $389.40 |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 13 | $429.90 | $5,588.70 |
| Goods ex GST | $7,219.60 |
| GST 10% | $721.96 |
| Total inc GST | $7,941.56 |
44
2
269 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-26-02472 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-2346 | Drain Cleaner Caustic 5L Corrosive | SDS-CH-2346-R1 | 4 Sep 2022 | 4 Sep 2027 | Current |
| CH-2280 | Laundry Powder Commercial 15kg Irritant | SDS-CH-2280-R1 | 18 Dec 2020 | 18 Dec 2025 | Expired |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way Irritant | SDS-CH-2310-R2 | 18 Oct 2023 | 17 Oct 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.