VERIDIA
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Delivery docket
SO-26-02541
Veridia Australia Pty Ltd
ABN 63 004 217 508
42–46 Mitchell Hwy, Molong NSW 2866
(02) 6366 8100 · we.care@veridia.com.au
Deliver to
Blayney Shire Council
Blayney Shire Council
Blayney NSW 2799
Attn: Peta Coogan
Account
BLK01
Terms 30 days
Your PO: —
Rep: Nadia Kostoglou
Delivery
Thu 6 Aug
Run RUN-26-0806-MOL
Driver: Col Amery
Vehicle: CV60LN
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 |
|---|---|---|---|---|---|
| CH-2262 | Machine Dishwash Liquid 20L [DG 8 UN1824] | 1 x 20L | 9 | $97.20 | $874.80 |
| HP-3066 | PVC Apron Heavy Duty White | 10 | 12 | $68.90 | $826.80 |
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 15 | $246.90 | $3,703.50 |
| FP-4086 | Straw Paper Wrapped 8mm Black | 20 x 250 | 2 | $96.80 | $193.60 |
| CH-2340 | Floor Stripper Heavy Duty 5L [DG 8 UN1824] | 2 x 5L | 5 | $97.20 | $486.00 |
| CH-2224 | Cream Cleanser 500ml | 12 x 500ml | 8 | $60.40 | $483.20 |
| HP-3020 | Nitrile Glove Long Cuff Black Medium | 10 x 100 | 11 | $101.20 | $1,113.20 |
| WJ-1068 | Soap Dispenser 1L Bulk Fill White | 1 | 14 | $30.90 | $432.60 |
| HP-3032 | Nitrile Exam Glove Micro-Touch Large | 10 x 100 | 1 | $126.40 | $126.40 |
| WJ-1080 | Bin Liner 36L Clear Natural 18mu | 20 x 50 | 4 | $45.90 | $183.60 |
| CH-2244 | Chlorine Sanitiser 12.5% 20L [DG 8 UN1791] | 1 x 20L | 2 | $66.10 | $132.20 |
| Goods ex GST | $8,555.90 |
| GST 10% | $855.59 |
| Total inc GST | $9,411.49 |
83
2
720 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-26-02541 for Blayney Shire Council. 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-2262 | Machine Dishwash Liquid 20L Corrosive | SDS-CH-2262-R3 | 10 Jan 2022 | 10 Jan 2027 | Current |
| CH-2340 | Floor Stripper Heavy Duty 5L Corrosive | SDS-CH-2340-R2 | 2 Jul 2021 | 2 Jul 2026 | Expired |
| CH-2224 | Cream Cleanser 500ml Irritant | SDS-CH-2224-R4 | 15 Dec 2021 | 15 Dec 2026 | Current |
| CH-2244 | Chlorine Sanitiser 12.5% 20L Corrosive | SDS-CH-2244-R2 | 19 Aug 2021 | 19 Aug 2026 | Expiring |
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.