VERIDIA
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Delivery docket
SO-26-02584
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
MQ Hospital & Clinic
Macquarie University
Macquarie Park NSW 2109
Attn: Clinical Supply
Account
MQU01
Terms 45 days EOM
Your PO: MQU-92734
Rep: Nadia Kostoglou
Delivery
Thu 6 Aug
Run RUN-26-0806-SYD
Driver: Milan Petrovic
Vehicle: CJ42QK
Dangerous goods — Class 2.1, 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-1120 | Scourer Pad Green Heavy Duty 150mm | 10 | 13 | $13.20 | $171.60 |
| WJ-1020 | Roll Hand Towel 100m Slimroll | 6 x 100m | 16 | $62.90 | $1,006.40 |
| CH-2352 | Chewing Gum Remover Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 3 | $136.60 | $409.80 |
| CH-2244 | Chlorine Sanitiser 12.5% 20L [DG 8 UN1791] | 1 x 20L | 6 | $66.10 | $396.60 |
| WJ-1060 | Hand Towel Dispenser Interleaved ABS White | 1 | 1 | $34.90 | $34.90 |
| FP-4036 | Water Cup 200ml Paper Cold | 20 x 50 | 4 | $66.00 | $264.00 |
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 7 | $125.40 | $877.80 |
| Goods ex GST | $3,161.10 |
| GST 10% | $316.11 |
| Total inc GST | $3,477.21 |
50
1
471 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-26-02584 for MQ Hospital & Clinic. 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-2352 | Chewing Gum Remover Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2352-R3 | 21 Nov 2023 | 20 Nov 2028 | Current |
| CH-2244 | Chlorine Sanitiser 12.5% 20L Corrosive | SDS-CH-2244-R2 | 19 Aug 2021 | 19 Aug 2026 | Expiring |
| CH-2284 | Laundry Emulsifier 20L Corrosive | SDS-CH-2284-R5 | 17 Jul 2022 | 17 Jul 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.