VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-02573
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 Orange
UPA Central West
Orange NSW 2800
Attn: Bev Antcliff
Account
UPA01
Terms 30 days
Your PO: UPA-90885
Rep: Priya Selvaraj
Delivery
Fri 7 Aug
Run RUN-26-0807-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 |
|---|---|---|---|---|---|
| WJ-1060 | Hand Towel Dispenser Interleaved ABS White | 1 | 16 | $34.90 | $558.40 |
| CH-2302 | Plug N Pump Bathroom Cleaner 1.5L [DG 8 UN1805] | 4 x 1.5L | 13 | $116.30 | $1,511.90 |
| WJ-1030 | Toilet Tissue 2ply 400 sheet | 48 x 400 sht | 6 | $51.40 | $308.40 |
| CH-2262 | Machine Dishwash Liquid 20L [DG 8 UN1824] | 1 x 20L | 3 | $97.20 | $291.60 |
| WJ-1118 | Chux Superwipes Heavy Duty Blue | 20 | 4 | $24.40 | $97.60 |
| FP-4016 | Foil Container Oblong 3 Portion + Lid | 5 x 100 | 1 | $111.30 | $111.30 |
| WJ-1088 | Clinical Waste Bag Yellow 60L | 10 x 50 | 10 | $82.90 | $829.00 |
| CH-2330 | ELIMO Carpet Spotter 750ml | 12 x 750ml | 7 | $88.10 | $616.70 |
| Goods ex GST | $4,324.90 |
| GST 10% | $432.49 |
| Total inc GST | $4,757.39 |
60
2
462 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-26-02573 for UPA Orange. 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-2302 | Plug N Pump Bathroom Cleaner 1.5L Corrosive | SDS-CH-2302-R5 | 16 Jun 2025 | 16 Jun 2030 | Current |
| CH-2262 | Machine Dishwash Liquid 20L Corrosive | SDS-CH-2262-R3 | 10 Jan 2022 | 10 Jan 2027 | Current |
| CH-2330 | ELIMO Carpet Spotter 750ml Irritant | SDS-CH-2330-R5 | 11 Feb 2025 | 11 Feb 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.