VERIDIA
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Delivery docket
SO-26-02555
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 Bankstown
Opal HealthCare NSW
Bankstown NSW 2200
Attn: Nadine Fakhri
Account
OPL01
Terms 30 days
Your PO: OPL-81513
Rep: Priya Selvaraj
Delivery
Wed 5 Aug
Run RUN-26-0805-SYD
Driver: Milan Petrovic
Vehicle: CJ42QK
Dangerous goods — Class 3
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 |
|---|---|---|---|---|---|
| BD-6022 | Glass Rack 25 Compartment | 1 | 12 | $71.90 | $862.80 |
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L [DG 3 UN1170] | 2 x 5L | 9 | $97.20 | $874.80 |
| FP-4070 | Wooden Cutlery Set Compostable | 10 x 100 | 2 | $124.70 | $249.40 |
| HP-3072 | Surgical Mask Level 3 Fluid Resistant | 40 x 50 | 15 | $119.80 | $1,797.00 |
| FP-4042 | Paper Bag SOS #8 Brown Handled | 5 x 250 | 8 | $82.70 | $661.60 |
| HP-3040 | Vinyl Glove Powder Free Clear Small | 10 x 100 | 5 | $48.80 | $244.00 |
| Goods ex GST | $4,689.60 |
| GST 10% | $468.96 |
| Total inc GST | $5,158.56 |
51
2
362 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-26-02555 for Opal Bankstown. 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 |
|---|---|---|---|---|---|
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L Flammable liquid | SDS-HP-3096-R5 | 3 Nov 2025 | 3 Nov 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.