VERIDIA
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Delivery docket
SO-26-02537
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
Emmaus Kemps Creek
Catholic Healthcare Ltd
Kemps Creek NSW 2178
Attn: Andrew Sciberras
Account
CAT01
Terms 45 days EOM
Your PO: CAT-69989
Rep: Priya Selvaraj
Delivery
Wed 5 Aug
Run RUN-26-0805-SYD
Driver: Milan Petrovic
Vehicle: CJ42QK
Dangerous goods — Class 3, 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-6040 | Melamine Bowl Scoop Aged Care | 1 x 12 | 16 | $150.90 | $2,414.40 |
| CH-2216 | Bathroom Cleaner Acidic 5L [DG 8 UN1805] | 2 x 5L | 13 | $51.90 | $674.70 |
| BD-6012 | Tumbler Tempered 425ml | 1 x 48 | 6 | $139.90 | $839.40 |
| HP-3084 | Shoe Cover Blue Non-Slip | 10 x 100 | 3 | $54.20 | $162.60 |
| WJ-1040 | Mini Jumbo Toilet Roll 200m | 12 x 200m | 4 | $54.60 | $218.40 |
| CH-2282 | Laundry Liquid Commercial 20L | 1 x 20L | 1 | $105.30 | $105.30 |
| WJ-1012 | Compact Hand Towel 90 sheet | 24 x 90 sht | 10 | $44.40 | $444.00 |
| CH-2246 | Quaternary Sanitiser Food Grade 5L [DG 8 UN1760] | 2 x 5L | 7 | $77.10 | $539.70 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 8 | $167.10 | $1,336.80 |
| WJ-1136 | Squeegee Floor 600mm with Handle | 1 | 5 | $57.90 | $289.50 |
| WJ-1062 | Hand Towel Dispenser Autocut Roll | 1 | 5 | $74.90 | $374.50 |
| CH-2264 | Dishwash Rinse Aid 20L [DG 8 UN1805] | 1 x 20L | 8 | $110.60 | $884.80 |
| Goods ex GST | $8,284.10 |
| GST 10% | $828.41 |
| Total inc GST | $9,112.51 |
86
2
831 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-26-02537 for Emmaus Kemps Creek. 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-2216 | Bathroom Cleaner Acidic 5L Corrosive | SDS-CH-2216-R2 | 28 Aug 2021 | 28 Aug 2026 | Expiring |
| CH-2282 | Laundry Liquid Commercial 20L Irritant | SDS-CH-2282-R4 | 11 Oct 2022 | 11 Oct 2027 | Current |
| CH-2246 | Quaternary Sanitiser Food Grade 5L Corrosive | SDS-CH-2246-R5 | 3 Feb 2026 | 3 Feb 2031 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 2030 | Current |
| 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.