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Sta_eof (Milbmia
DeparBnent of Healih Services
Water Treatment Device
Certificate Number
Tr adcmar k/Model l)eslgaation
Gh MSWF
06 - 1834
Date issued: December 6, 2006
Replacement Eloments
MSWI:
(on some models)
Ion some models)
Manufactur er : General Electric Ctmlpall)
The wa_er _reatlnenl device,s) listed on this cer/itkar_ have raet the testing requirements pursuant to Section
116830 of the Health and Sal'ety Code _r th_ following heMth related contaminants:
Micl'obiological Contaminants and Turbidity
Cysts
rufl_lditj
Organic Conlaminan_s
Atrazme
Benzene
Carboflural_
I,mdanc
p-l)icMorobenzene
Toxaohene
2. 4-D
Rated Service Capacity: 300 gals Rated Sot_vice Fhlw: uvu gpm
Conditions of Ccr tification :
Do not use where wa/er is microbiologlcally unsai? or wllh wa/er of unkxlo_n quali_y, e×cc-pt that systems certified tbl
cysl red uclion may be used on disinil-cted wa/ers _hat may con|aJn fiherable cysts.
State of Califorlfia
Department of Pubtic Health
Water Treatment Device
Certificate N umber
05- 1698
{)ate Issued: bebluaI'_ 2, 2010
Ion some models)
For Purchases Made In Iowa: This form must be signed and doted by the buyer and seller prior to the consummation of this
sole. This form should be retained on file by the seller for o minimum of two years.
BUYER: SELLER:
N(]me N(]me
Address Address
City State Zip City
Signature Dote Signature
46
State Zip
Dote
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