VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-02538
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
BlueCare Toowoomba
BlueCare Queensland
Toowoomba QLD 4350
Attn: Gary Fensom
Account
BLU01
Terms 45 days EOM
Your PO: BLU-92228
Rep: Grant Whitely
Delivery
Wed 5 Aug
Run RUN-26-0805-BNE
Driver: Rob Sanderson
Vehicle: 912WQC
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 |
|---|---|---|---|---|---|
| CH-2226 | Heavy Duty Degreaser 5L [DG 8 UN1719] | 2 x 5L | 7 | $62.40 | $436.80 |
| BD-6060 | Table Cover Paper White 1.2 x 30m | 1 x 6 | 10 | $115.90 | $1,159.00 |
| CH-2260 | Machine Dishwash Powder 10kg [DG 8 UN3253] | 1 x 10kg | 1 | $68.60 | $68.60 |
| WJ-1022 | Continuous Roll Towel Blue 300m | 4 x 300m | 4 | $66.20 | $264.80 |
| HP-3072 | Surgical Mask Level 3 Fluid Resistant | 40 x 50 | 3 | $119.80 | $359.40 |
| FP-4070 | Wooden Cutlery Set Compostable | 10 x 100 | 6 | $124.70 | $748.20 |
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L [DG 3 UN1170] | 2 x 5L | 13 | $97.20 | $1,263.60 |
| BD-6022 | Glass Rack 25 Compartment | 1 | 16 | $71.90 | $1,150.40 |
| WJ-1154 | Urinal Screen Deodoriser 30 Day | 10 | 15 | $52.40 | $786.00 |
| FP-4016 | Foil Container Oblong 3 Portion + Lid | 5 x 100 | 2 | $111.30 | $222.60 |
| CH-2222 | Glass & Mirror Cleaner 5L Refill | 2 x 5L | 12 | $37.20 | $446.40 |
| Goods ex GST | $6,905.80 |
| GST 10% | $690.58 |
| Total inc GST | $7,596.38 |
89
2
662 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-26-02538 for BlueCare Toowoomba. 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-2226 | Heavy Duty Degreaser 5L Corrosive | SDS-CH-2226-R1 | 6 May 2025 | 6 May 2030 | Current |
| CH-2260 | Machine Dishwash Powder 10kg Corrosive | SDS-CH-2260-R1 | 3 Nov 2023 | 2 Nov 2028 | Current |
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L Flammable liquid | SDS-HP-3096-R5 | 3 Nov 2025 | 3 Nov 2030 | Current |
| CH-2222 | Glass & Mirror Cleaner 5L Refill Irritant | SDS-CH-2222-R2 | 8 Oct 2023 | 7 Oct 2028 | 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.