VERIDIA
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Delivery docket
SO-26-02533
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
Opal Bankstown
Opal HealthCare NSW
Bankstown NSW 2200
Attn: Nadine Fakhri
Account
OPL01
Terms 30 days
Your PO: OPL-59894
Rep: Priya Selvaraj
Delivery
Wed 5 Aug
Run RUN-26-0805-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 |
|---|---|---|---|---|---|
| BD-6052 | Cutlery Table Fork 18/0 | 1 x 12 | 13 | $65.90 | $856.70 |
| HP-3090 | Hand Soap Foaming 1L Pod Fragrance Free | 6 x 1L | 16 | $60.20 | $963.20 |
| BD-6016 | Wine Glass Stemmed 350ml | 1 x 24 | 3 | $115.90 | $347.70 |
| HP-3064 | Disposable Apron Polythene White | 10 x 100 | 6 | $54.90 | $329.40 |
| WJ-1050 | Facial Tissue 2ply 200 sheet Cube | 24 x 200 sht | 1 | $40.20 | $40.20 |
| CH-2252 | Norovirus Disinfectant Concentrate 5L [DG 8 UN1791] | 2 x 5L | 4 | $158.90 | $635.60 |
| WJ-1016 | Slimfold Hand Towel | 16 x 90 sht | 7 | $53.90 | $377.30 |
| Goods ex GST | $3,550.10 |
| GST 10% | $355.01 |
| Total inc GST | $3,905.11 |
50
1
289 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-26-02533 for Opal Bankstown. 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-2252 | Norovirus Disinfectant Concentrate 5L Corrosive | SDS-CH-2252-R2 | 15 Apr 2025 | 15 Apr 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.