VERIDIA
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Delivery docket
SO-26-02542
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 Nowra
Opal HealthCare NSW
Nowra NSW 2541
Attn: Jenna Costigan
Account
OPL01
Terms 30 days
Your PO: OPL-52435
Rep: Priya Selvaraj
Delivery
Thu 6 Aug
Run RUN-26-0806-SYD
Driver: Milan Petrovic
Vehicle: CJ42QK
Dangerous goods — Class 2.1, 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-2230 | Stainless Steel Polish Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 10 | $96.60 | $966.00 |
| WJ-1032 | Toilet Tissue 2ply 700 sheet | 48 x 700 sht | 7 | $78.90 | $552.30 |
| CH-2264 | Dishwash Rinse Aid 20L [DG 8 UN1805] | 1 x 20L | 4 | $110.60 | $442.40 |
| WJ-1062 | Hand Towel Dispenser Autocut Roll | 1 | 1 | $74.90 | $74.90 |
| HP-3076 | P2 Respirator Cup Shape Valved | 12 x 20 | 6 | $243.30 | $1,459.80 |
| BD-6032 | Side Plate Vitrified White 180mm | 1 x 36 | 3 | $199.90 | $599.70 |
| HP-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 16 | $60.50 | $968.00 |
| BD-6064 | Bar Runner Rubber Backed 900mm | 1 | 13 | $31.90 | $414.70 |
| Goods ex GST | $5,477.80 |
| GST 10% | $547.78 |
| Total inc GST | $6,025.58 |
60
2
430 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-26-02542 for Opal Nowra. 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-2230 | Stainless Steel Polish Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2230-R1 | 27 Apr 2022 | 27 Apr 2027 | Current |
| CH-2264 | Dishwash Rinse Aid 20L Corrosive | SDS-CH-2264-R2 | 6 Apr 2022 | 6 Apr 2027 | Current |
| HP-3100 | Alcohol Wipes Sachet 70% IPA Flammable liquid | SDS-HP-3100-R2 | 15 Jan 2025 | 15 Jan 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.