VERIDIA
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Delivery docket
SO-26-02502
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
Maitland Hospital
Hunter New England Health
Metford NSW 2323
Attn: Stores
Account
HNE01
Terms 45 days EOM
Your PO: HNE-41231
Rep: Nadia Kostoglou
Delivery
Tue 4 Aug
Run RUN-26-0804-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 |
|---|---|---|---|---|---|
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 14 | $48.90 | $684.60 |
| WJ-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 11 | $479.90 | $5,278.90 |
| HP-3070 | Surgical Mask Level 2 Earloop Blue | 40 x 50 | 8 | $88.10 | $704.80 |
| CH-2264 | Dishwash Rinse Aid 20L [DG 8 UN1805] | 1 x 20L | 5 | $110.60 | $553.00 |
| Goods ex GST | $7,221.30 |
| GST 10% | $722.13 |
| Total inc GST | $7,943.43 |
38
1
502 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-26-02502 for Maitland Hospital. 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-2264 | Dishwash Rinse Aid 20L Corrosive | SDS-CH-2264-R2 | 6 Apr 2022 | 6 Apr 2027 | 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.