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State of California
Department of Health Services
Water Treatment Device
Certificate Number
97-1291
Dale Issued: June 10, 1997
Trademark/Model Designation Replacement Elements
(;E Wa/er by Culli_an Filualion System FXR( None
Manufacturer: Culli_zan lnterna/ional Company
The water treatment device(s) listed on this certificate have met the testing requirements pursuant to Section 116830of the
Health and Safety Code for the following health related contaminants:
Microbiological Contaminants
and Turbidity
C_ts (pro/ozoanl
Turbidi/y
Organic Contaminants
None
Inorganic/Radiological
Contaminants
[_ead
Rated Service Capacity: 200 galh)ns Rated Service Flow: 0.5 gpm
Do not use where water is microbiologically unsafe or with water of unknown quality, except that systems claiming cyst reduction may be
used on water containing cysts.
For Purchases Made In Iowa: This fi)rm must be signed and dated by ll_e buyer and seller prior to the consummation of tiffs
sale. This ti)rm should be retained on tile by the seller for a minimum of two years.
BUYER: SELLER:
N_e N_e
Address Ad(hess
(i/y Stale Zip (i/y
Signa/ure Date Signa/ure
Slate Zip
[)ale
35
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