VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-02483
Veridia Australia Pty Ltd
ABN 63 004 217 508
42–46 Mitchell Hwy, Molong NSW 2866
(02) 6366 8100 · we.care@veridia.com.au
Deliver to
Roshana Orange
Roshana Care Group
Orange NSW 2800
Attn: Leonie Sharp
Account
ROS01
Terms 30 days
Your PO: ROS-94963
Rep: Priya Selvaraj
Delivery
Tue 4 Aug
Run RUN-26-0804-MOL
Driver: Col Amery
Vehicle: CV60LN
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-2226 | Heavy Duty Degreaser 5L [DG 8 UN1719] | 2 x 5L | 2 | $62.40 | $124.80 |
| WJ-1022 | Continuous Roll Towel Blue 300m | 4 x 300m | 15 | $66.20 | $993.00 |
| CH-2260 | Machine Dishwash Powder 10kg [DG 8 UN3253] | 1 x 10kg | 12 | $68.60 | $823.20 |
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 9 | $95.90 | $863.10 |
| HP-3072 | Surgical Mask Level 3 Fluid Resistant | 40 x 50 | 14 | $119.80 | $1,677.20 |
| BD-6022 | Glass Rack 25 Compartment | 1 | 11 | $71.90 | $790.90 |
| Goods ex GST | $5,272.20 |
| GST 10% | $527.22 |
| Total inc GST | $5,799.42 |
63
2
533 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-26-02483 for Roshana Orange. 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-2226 | Heavy Duty Degreaser 5L Corrosive | SDS-CH-2226-R1 | 6 May 2025 | 6 May 2030 | Current |
| CH-2260 | Machine Dishwash Powder 10kg Corrosive | SDS-CH-2260-R1 | 3 Nov 2023 | 2 Nov 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.