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State of California
Department of Health Services
Water Treatment Device
Certificate Number
97-1291
Dale Issued: June 1O, 1997
Trademark/Model Designation
(;E Water by Culli_an Filtration Syslem FXR(
Manufacturer: (aflh_an hnernanonal (,ompany
Replacement Elements
None
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
Cysts (protozoan,
Turbidity
Organic Contaminants
None
Rated Service Capacity: 200 gallons 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 the buyer and seller prior to the consummation of this
sale. This fi)rm should be retained on file by the seller for a minimum of two years,
BUYER: SELLER:
Y_e Y_e
Address Ad(hess
(i/y Stale Zip (i/y
Signature Date Signature
State Zip
[)ate
24
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