VERIDIA
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Delivery docket
SO-26-02526
Veridia Australia Pty Ltd
ABN 63 004 217 508
14 Gateway Cres, Wacol QLD 4076
(07) 3271 4400 · we.care@veridia.com.au
Deliver to
Chalk Hotel
Australian Venue Co — QLD
Woolloongabba QLD 4102
Attn: Jayden Kerr
Account
AVC01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Tue 4 Aug
Run RUN-26-0804-BNE
Driver: Rob Sanderson
Vehicle: 912WQC
Dangerous goods — Class 2.1, 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 |
|---|---|---|---|---|---|
| CH-2352 | Chewing Gum Remover Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 14 | $136.60 | $1,912.40 |
| CH-2304 | Plug N Pump Glass Cleaner 1.5L | 4 x 1.5L | 11 | $108.40 | $1,192.40 |
| CH-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 8 | $88.10 | $704.80 |
| WJ-1156 | Toilet Bowl Clip Deodoriser | 12 | 5 | $44.90 | $224.50 |
| Goods ex GST | $4,034.10 |
| GST 10% | $403.41 |
| Total inc GST | $4,437.51 |
38
1
252 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-26-02526 for Chalk Hotel. 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-2352 | Chewing Gum Remover Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2352-R3 | 21 Nov 2023 | 20 Nov 2028 | Current |
| CH-2304 | Plug N Pump Glass Cleaner 1.5L Irritant | SDS-CH-2304-R1 | 22 Mar 2025 | 22 Mar 2030 | Current |
| CH-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 2026 | 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.