VERIDIA
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Delivery docket
SO-26-02602
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-63409
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-2244 | Chlorine Sanitiser 12.5% 20L [DG 8 UN1791] | 1 x 20L | 4 | $66.10 | $264.40 |
| WJ-1038 | Jumbo Toilet Roll 500m 1ply | 6 x 500m | 1 | $64.90 | $64.90 |
| CH-2214 | Multi-Purpose Neutral Detergent 5L | 2 x 5L | 10 | $40.20 | $402.00 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 7 | $48.90 | $342.30 |
| HP-3082 | Beard Cover White | 10 x 100 | 16 | $34.90 | $558.40 |
| BD-6038 | Melamine Plate Non-Slip Aged Care 230mm | 1 x 12 | 13 | $163.90 | $2,130.70 |
| HP-3054 | Rubber Glove Heavy Duty Green Large | 12 pr | 6 | $66.90 | $401.40 |
| BD-6010 | Tumbler Tempered 285ml | 1 x 72 | 3 | $132.90 | $398.70 |
| HP-3014 | Nitrile Glove Powder Free Blue Large | 10 x 200 | 12 | $87.90 | $1,054.80 |
| FP-4052 | Greaseproof Paper Sheets 400x330 | 1 x 800 | 9 | $66.00 | $594.00 |
| BD-6036 | Cup & Saucer Vitrified White 200ml | 1 x 24 | 1 | $234.90 | $234.90 |
| HP-3080 | Hair Net Bouffant White 21" | 10 x 100 | 4 | $37.20 | $148.80 |
| Goods ex GST | $6,595.30 |
| GST 10% | $659.53 |
| Total inc GST | $7,254.83 |
86
2
668 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-26-02602 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-2244 | Chlorine Sanitiser 12.5% 20L Corrosive | SDS-CH-2244-R2 | 19 Aug 2021 | 19 Aug 2026 | Expiring |
| CH-2214 | Multi-Purpose Neutral Detergent 5L Irritant | SDS-CH-2214-R5 | 14 Jun 2021 | 14 Jun 2026 | Expired |
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.