VERIDIA
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Delivery docket
SO-26-02500
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
Wellington Correctional Centre
Corrective Services NSW — Western
Wellington NSW 2820
Attn: Stores Officer
Account
CSC01
Terms 45 days EOM
Your PO: CSC-47088
Rep: Nadia Kostoglou
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 |
|---|---|---|---|---|---|
| HP-3022 | Nitrile Glove Long Cuff Black Large | 10 x 100 | 3 | $101.20 | $303.60 |
| WJ-1070 | Sanitiser Dispenser Auto Sensor 1L | 1 | 6 | $119.90 | $719.40 |
| CH-2342 | Floor Seal Acrylic 5L | 2 x 5L | 13 | $110.60 | $1,437.80 |
| CH-2226 | Heavy Duty Degreaser 5L [DG 8 UN1719] | 2 x 5L | 16 | $62.40 | $998.40 |
| WJ-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 7 | $479.90 | $3,359.30 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 10 | $48.90 | $489.00 |
| CH-2264 | Dishwash Rinse Aid 20L [DG 8 UN1805] | 1 x 20L | 1 | $110.60 | $110.60 |
| HP-3070 | Surgical Mask Level 2 Earloop Blue | 40 x 50 | 4 | $88.10 | $352.40 |
| CH-2256 | Viraclean Hospital Disinfectant 5L | 2 x 5L | 11 | $136.00 | $1,496.00 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 14 | $167.40 | $2,343.60 |
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 16 | $95.90 | $1,534.40 |
| Goods ex GST | $13,144.50 |
| GST 10% | $1,314.45 |
| Total inc GST | $14,458.95 |
101
2
1,018 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-26-02500 for Wellington Correctional 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-2342 | Floor Seal Acrylic 5L Irritant | SDS-CH-2342-R5 | 2 Apr 2024 | 2 Apr 2029 | Current |
| CH-2226 | Heavy Duty Degreaser 5L Corrosive | SDS-CH-2226-R1 | 6 May 2025 | 6 May 2030 | Current |
| CH-2264 | Dishwash Rinse Aid 20L Corrosive | SDS-CH-2264-R2 | 6 Apr 2022 | 6 Apr 2027 | Current |
| CH-2256 | Viraclean Hospital Disinfectant 5L Irritant | SDS-CH-2256-R1 | 30 Aug 2021 | 30 Aug 2026 | Expiring |
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.