VERIDIA
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Delivery docket
SO-26-02548
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
SCC Canberra
Southern Cross Care NSW & ACT
Garran ACT 2605
Attn: Jason Halliwell
Account
SLH01
Terms 45 days EOM
Your PO: SLH-92114
Rep: Priya Selvaraj
Delivery
Thu 6 Aug
Run RUN-26-0806-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 |
|---|---|---|---|---|---|
| HP-3010 | Nitrile Glove Powder Free Blue Small | 10 x 200 | 1 | $87.90 | $87.90 |
| FP-4022 | Plastic Tray Black PP 5 Compartment | 5 x 100 | 4 | $105.20 | $420.80 |
| WJ-1130 | Broom Head Soft Bristle 450mm | 1 | 7 | $28.40 | $198.80 |
| CH-2344 | Floor Polish High Solids 5L | 2 x 5L | 10 | $121.60 | $1,216.00 |
| WJ-1102 | Mop Head Microfibre Flat 40cm | 1 | 13 | $20.90 | $271.70 |
| CH-2308 | Plug N Pump Degreaser 1.5L [DG 8 UN1719] | 4 x 1.5L | 16 | $125.40 | $2,006.40 |
| WJ-1066 | Toilet Roll Dispenser Twin ABS | 1 | 3 | $44.90 | $134.70 |
| Goods ex GST | $4,336.30 |
| GST 10% | $433.63 |
| Total inc GST | $4,769.93 |
54
2
275 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-26-02548 for SCC Canberra. 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-2344 | Floor Polish High Solids 5L Irritant | SDS-CH-2344-R3 | 24 Jan 2026 | 24 Jan 2031 | Current |
| CH-2308 | Plug N Pump Degreaser 1.5L Corrosive | SDS-CH-2308-R4 | 10 Sep 2025 | 10 Sep 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.