VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-02551
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
UPA Forbes
UPA Central West
Forbes NSW 2871
Attn: Sue Hetherington
Account
UPA01
Terms 30 days
Your PO: —
Rep: Priya Selvaraj
Delivery
Wed 5 Aug
Run RUN-26-0805-MOL
Driver: Jess Fairweather
Vehicle: AK29PD
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-2244 | Chlorine Sanitiser 12.5% 20L [DG 8 UN1791] | 1 x 20L | 3 | $66.10 | $198.30 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 6 | $45.20 | $271.20 |
| CH-2280 | Laundry Powder Commercial 15kg | 1 x 15kg | 13 | $88.10 | $1,145.30 |
| WJ-1038 | Jumbo Toilet Roll 500m 1ply | 6 x 500m | 16 | $64.90 | $1,038.40 |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 7 | $429.90 | $3,009.30 |
| WJ-1068 | Soap Dispenser 1L Bulk Fill White | 1 | 10 | $30.90 | $309.00 |
| CH-2346 | Drain Cleaner Caustic 5L [DG 8 UN1824] | 2 x 5L | 1 | $77.30 | $77.30 |
| WJ-1104 | Mop Handle Aluminium 1500mm | 1 | 4 | $24.60 | $98.40 |
| HP-3014 | Nitrile Glove Powder Free Blue Large | 10 x 200 | 11 | $87.90 | $966.90 |
| Goods ex GST | $7,114.10 |
| GST 10% | $711.41 |
| Total inc GST | $7,825.51 |
71
2
701 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-26-02551 for UPA Forbes. 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-2244 | Chlorine Sanitiser 12.5% 20L Corrosive | SDS-CH-2244-R2 | 19 Aug 2021 | 19 Aug 2026 | Expiring |
| CH-2280 | Laundry Powder Commercial 15kg Irritant | SDS-CH-2280-R1 | 18 Dec 2020 | 18 Dec 2025 | Expired |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way Irritant | SDS-CH-2310-R2 | 18 Oct 2023 | 17 Oct 2028 | Current |
| CH-2346 | Drain Cleaner Caustic 5L Corrosive | SDS-CH-2346-R1 | 4 Sep 2022 | 4 Sep 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.