VERIDIA
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Delivery docket
SO-26-02498
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 Aquatic Centre
Orange City Council
Orange NSW 2800
Attn: Centre Manager
Account
OCC01
Terms 30 days
Your PO: OCC-73128
Rep: Nadia Kostoglou
Delivery
Tue 4 Aug
Run RUN-26-0804-MOL
Driver: Col Amery
Vehicle: CV60LN
Dangerous goods — Class 3
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-1084 | Bin Liner 240L Black Heavy Duty | 5 x 50 | 3 | $96.90 | $290.70 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 6 | $49.10 | $294.60 |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 | 6 x 200 | 13 | $130.40 | $1,695.20 |
| HP-3042 | Vinyl Glove Powder Free Clear Medium | 10 x 100 | 16 | $48.80 | $780.80 |
| WJ-1018 | Roll Hand Towel 80m Autocut | 16 x 80m | 7 | $67.20 | $470.40 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 10 | $167.10 | $1,671.00 |
| HP-3078 | Face Shield Full Length Anti-Fog | 50 | 1 | $108.90 | $108.90 |
| WJ-1118 | Chux Superwipes Heavy Duty Blue | 20 | 4 | $24.40 | $97.60 |
| HP-3072 | Surgical Mask Level 3 Fluid Resistant | 40 x 50 | 11 | $119.80 | $1,317.80 |
| WJ-1112 | Microfibre Cloth 40x40 Blue | 10 | 14 | $16.40 | $229.60 |
| FP-4082 | Napkin 2ply Dinner White 1/8 Fold | 10 x 250 | 16 | $93.70 | $1,499.20 |
| Goods ex GST | $8,455.80 |
| GST 10% | $845.58 |
| Total inc GST | $9,301.38 |
101
2
790 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-26-02498 for Orange Aquatic 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-2242 | Hospital Grade Disinfectant Wipes 200 Irritant | SDS-CH-2242-R4 | 25 Dec 2023 | 24 Dec 2028 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 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.