VERIDIA
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Delivery docket
SO-26-04408
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
St Vincent's Ryde
Catholic Healthcare Ltd
Ryde NSW 2112
Attn: Genevieve Cordina
Account
CAT01
Terms 45 days EOM
Your PO: CHC-70418
Rep: Priya Selvaraj
Delivery
Tue 4 Aug
Run RUN-26-0804-SYD
Driver: Milan Petrovic
Vehicle: CJ42QK
Dangerous goods — Class 5.1, 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 |
|---|---|---|---|---|---|
| CH-2248 | Peracetic Acid Sanitiser 20L [DG 5.1 UN3149] | 1 x 20L | 6 | $181.20 | $1,087.20 |
| CH-2216 | Bathroom Cleaner Acidic 5L [DG 8 UN1805] | 2 x 5L | 14 | $51.90 | $726.60 |
| CH-2246 | Quaternary Sanitiser Food Grade 5L [DG 8 UN1760] | 2 x 5L | 10 | $77.10 | $771.00 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 24 | $44.30 | $1,063.20 |
| HP-3012 | Nitrile Glove Powder Free Blue Medium | 10 x 200 | 16 | $79.30 | $1,268.80 |
| FP-4014 | Foil Container Rectangular 1 Portion | 10 x 100 | 12 | $79.50 | $954.00 |
| Goods ex GST | $5,870.80 |
| GST 10% | $587.08 |
| Total inc GST | $6,457.88 |
82
2
891 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-26-04408 for St Vincent's Ryde. 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-2248 | Peracetic Acid Sanitiser 20L Oxidiser | SDS-CH-2248-R3 | 20 Mar 2024 | 20 Mar 2029 | Current |
| CH-2216 | Bathroom Cleaner Acidic 5L Corrosive | SDS-CH-2216-R2 | 28 Aug 2021 | 28 Aug 2026 | Expiring |
| CH-2246 | Quaternary Sanitiser Food Grade 5L Corrosive | SDS-CH-2246-R5 | 3 Feb 2026 | 3 Feb 2031 | 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.