VERIDIA
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Delivery docket
SO-26-02592
Veridia Australia Pty Ltd
ABN 63 004 217 508
14 Gateway Cres, Wacol QLD 4076
(07) 3271 4400 · we.care@veridia.com.au
Deliver to
Southport Sharks
Southport Sharks
Southport QLD 4215
Attn: Josh Everingham
Account
SOU01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Fri 7 Aug
Run RUN-26-0807-BNE
Driver: Rob Sanderson
Vehicle: 912WQC
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 |
|---|---|---|---|---|---|
| CA-7012 | Coffee Beans Organic Blend 1kg | 6 x 1kg | 6 | $238.90 | $1,433.40 |
| BD-6022 | Glass Rack 25 Compartment | 1 | 3 | $71.90 | $215.70 |
| FP-4052 | Greaseproof Paper Sheets 400x330 | 1 x 800 | 16 | $66.00 | $1,056.00 |
| FP-4014 | Foil Container Rectangular 1 Portion | 10 x 100 | 13 | $79.50 | $1,033.50 |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 10 | $429.90 | $4,299.00 |
| CH-2256 | Viraclean Hospital Disinfectant 5L | 2 x 5L | 7 | $136.00 | $952.00 |
| CH-2212 | Neutral Floor Detergent 20L Drum | 1 x 20L | 4 | $74.20 | $296.80 |
| WJ-1114 | Microfibre Cloth 40x40 Red | 10 | 1 | $16.40 | $16.40 |
| FP-4044 | Cling Film 33cm x 600m Cutter Box | 6 | 14 | $96.50 | $1,351.00 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 11 | $167.10 | $1,838.10 |
| Goods ex GST | $12,491.90 |
| GST 10% | $1,249.19 |
| Total inc GST | $13,741.09 |
85
2
720 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-26-02592 for Southport Sharks. 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-2310 | Plug N Pump Wall Dosing Station 4-Way Irritant | SDS-CH-2310-R2 | 18 Oct 2023 | 17 Oct 2028 | Current |
| CH-2256 | Viraclean Hospital Disinfectant 5L Irritant | SDS-CH-2256-R1 | 30 Aug 2021 | 30 Aug 2026 | Expiring |
| CH-2212 | Neutral Floor Detergent 20L Drum Irritant | SDS-CH-2212-R1 | 29 Oct 2021 | 29 Oct 2026 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 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.