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State of California
Department of Health Services
Water Treatment Device
Certificate Number
06-1834
Date Issued: December 6, 2006
Trademark!ModelDesi_nation
GEMSWF
_R_e_placement Elements
MS WF
Manufactnr er: General Electric Company
to Section
Microbiological Conga minants and Turbidity
C3 sts
Furbiddy
_anic Contaminants
Atrazine
Benzene
Carboflnran
I_anic!Radiol_ical Conta minants
Asbestos
Lead
Mercury
2, 4-D
Rated Service Capacity: 300 gals Rated Service F10w: 0.90 gpm
Conditions of Cer tification:
Do not use where water is microbiologically unsafe or with water of unknown quality, except that systems certified for
c} st reduction may be used on disinfected waters that 'may contain filterable cysts.
ForPurchasesMade In Iowa: This form must be signed and dated bx the bmer and seller prior to the coi_sulnlnation of this
sale. This form should be retained on file b_ the seller for a minimmn of two _ears.
BUYER: SELLER:
Nalne Nalne
Address Address
City State Zip City
Siglmture Date Signature
42
State Zip
Date
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