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State of California
Department of Health Services
Water Treatment Device
Certificate Number
97-1291
Date Issued: June 1O, 1997
Trademark/Model Designation Replacement Elements
None
Manufacturer'. Culliuan Ii_ternational Company
The water treatment device(s) listed on this certificate nave met the testing requirements pursuant to Section 116830 of the
Health and Safety Code for the following health related contaminants:
Microbiological Contaminants
and Turbidity
cysts (pro/o×oanl
Turbidity
Organic Contaminants
None
Inorganic/Radio/ogica/
Contaminants
=ead
Rated Service Capacity: 200 gallons Rated Service Flow'. 0.5 ,qq_)m
Bo not use where water is microhiologically unsafe or with water of unknown quali_ except that systems clahning cyst reduction may be
used on water containing cysts.
For Purchases Made In Iowa: This form must be signed and dated by the buyer and seller prior to the consummation of this
sale. This form should be retained on file by the seller for a minimum of two years
BUYER: SELLER:
Name
Address
(',it}' State Zip
Signature Date
Name
Ad(hess
(',it}' State Zip
Signature Date
27
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