VERIDIA
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Delivery docket
SO-26-02600
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 Hornsby
Opal HealthCare NSW
Hornsby NSW 2077
Attn: Paul Vickery
Account
OPL01
Terms 30 days
Your PO: OPL-48616
Rep: Priya Selvaraj
Delivery
Fri 7 Aug
Run RUN-26-0807-SYD
Driver: Milan Petrovic
Vehicle: CJ42QK
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 |
|---|---|---|---|---|---|
| CH-2302 | Plug N Pump Bathroom Cleaner 1.5L [DG 8 UN1805] | 4 x 1.5L | 3 | $116.30 | $348.90 |
| WJ-1060 | Hand Towel Dispenser Interleaved ABS White | 1 | 6 | $34.90 | $209.40 |
| CH-2330 | ELIMO Carpet Spotter 750ml | 12 x 750ml | 13 | $88.10 | $1,145.30 |
| WJ-1088 | Clinical Waste Bag Yellow 60L | 10 x 50 | 16 | $82.90 | $1,326.40 |
| FP-4016 | Foil Container Oblong 3 Portion + Lid | 5 x 100 | 7 | $111.30 | $779.10 |
| WJ-1118 | Chux Superwipes Heavy Duty Blue | 20 | 10 | $24.40 | $244.00 |
| FP-4042 | Paper Bag SOS #8 Brown Handled | 5 x 250 | 1 | $82.70 | $82.70 |
| WJ-1154 | Urinal Screen Deodoriser 30 Day | 10 | 4 | $52.40 | $209.60 |
| HP-3074 | P2 Respirator Flat Fold Unvalved | 20 x 20 | 11 | $209.70 | $2,306.70 |
| Goods ex GST | $6,652.10 |
| GST 10% | $665.21 |
| Total inc GST | $7,317.31 |
71
2
513 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-26-02600 for Opal Hornsby. 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-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.