VERIDIA
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Delivery docket
SO-26-02599
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
Wellington Correctional Centre
Corrective Services NSW — Western
Wellington NSW 2820
Attn: Stores Officer
Account
CSC01
Terms 45 days EOM
Your PO: CSC-42759
Rep: Nadia Kostoglou
Delivery
Fri 7 Aug
Run RUN-26-0807-MOL
Driver: Col Amery
Vehicle: CV60LN
Dangerous goods — Class 3, 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 |
|---|---|---|---|---|---|
| HP-3020 | Nitrile Glove Long Cuff Black Medium | 10 x 100 | 14 | $101.20 | $1,416.80 |
| CH-2224 | Cream Cleanser 500ml | 12 x 500ml | 11 | $60.40 | $664.40 |
| CH-2340 | Floor Stripper Heavy Duty 5L [DG 8 UN1824] | 2 x 5L | 8 | $97.20 | $777.60 |
| FP-4086 | Straw Paper Wrapped 8mm Black | 20 x 250 | 5 | $96.80 | $484.00 |
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 2 | $246.90 | $493.80 |
| HP-3066 | PVC Apron Heavy Duty White | 10 | 15 | $68.90 | $1,033.50 |
| CH-2262 | Machine Dishwash Liquid 20L [DG 8 UN1824] | 1 x 20L | 12 | $97.20 | $1,166.40 |
| FP-4022 | Plastic Tray Black PP 5 Compartment | 5 x 100 | 9 | $105.20 | $946.80 |
| WJ-1040 | Mini Jumbo Toilet Roll 200m | 12 x 200m | 6 | $54.60 | $327.60 |
| WJ-1140 | Wet Floor Sign A-Frame Yellow | 1 | 3 | $30.90 | $92.70 |
| FP-4012 | Foam Container Burger Clam Large | 4 x 125 | 15 | $54.90 | $823.50 |
| CH-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 2 | $88.10 | $176.20 |
| Goods ex GST | $8,403.30 |
| GST 10% | $840.33 |
| Total inc GST | $9,243.63 |
102
2
882 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-26-02599 for Wellington Correctional Centre. 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-2224 | Cream Cleanser 500ml Irritant | SDS-CH-2224-R4 | 15 Dec 2021 | 15 Dec 2026 | Current |
| CH-2340 | Floor Stripper Heavy Duty 5L Corrosive | SDS-CH-2340-R2 | 2 Jul 2021 | 2 Jul 2026 | Expired |
| CH-2262 | Machine Dishwash Liquid 20L Corrosive | SDS-CH-2262-R3 | 10 Jan 2022 | 10 Jan 2027 | Current |
| CH-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 2026 | 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.