VERIDIA
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Delivery docket
SO-26-02490
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
Orange Civic Centre
Orange City Council
Orange NSW 2800
Attn: Depot Store
Account
OCC01
Terms 30 days
Your PO: OCC-53334
Rep: Nadia Kostoglou
Delivery
Mon 3 Aug
Run RUN-26-0803-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 |
|---|---|---|---|---|---|
| WJ-1088 | Clinical Waste Bag Yellow 60L | 10 x 50 | 13 | $82.90 | $1,077.70 |
| FP-4066 | Cutlery Teaspoon PP White | 20 x 100 | 16 | $40.10 | $641.60 |
| CH-2320 | ELIMO Odour Neutraliser 5L | 2 x 5L | 3 | $96.60 | $289.80 |
| CH-2212 | Neutral Floor Detergent 20L Drum | 1 x 20L | 6 | $74.20 | $445.20 |
| WJ-1022 | Continuous Roll Towel Blue 300m | 4 x 300m | 1 | $66.20 | $66.20 |
| FP-4010 | Foam Container 3 Compartment Hinged | 4 x 125 | 4 | $60.10 | $240.40 |
| CH-2246 | Quaternary Sanitiser Food Grade 5L [DG 8 UN1760] | 2 x 5L | 7 | $77.10 | $539.70 |
| Goods ex GST | $3,300.60 |
| GST 10% | $330.06 |
| Total inc GST | $3,630.66 |
50
1
488 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-26-02490 for Orange Civic Centre. 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-2320 | ELIMO Odour Neutraliser 5L Irritant | SDS-CH-2320-R1 | 8 Nov 2021 | 8 Nov 2026 | Current |
| CH-2212 | Neutral Floor Detergent 20L Drum Irritant | SDS-CH-2212-R1 | 29 Oct 2021 | 29 Oct 2026 | Current |
| CH-2246 | Quaternary Sanitiser Food Grade 5L Corrosive | SDS-CH-2246-R5 | 3 Feb 2026 | 3 Feb 2031 | 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.