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State of California
Department of Health Services
Water Treatment Device
Certificate Number
00-1434
Date Issued: May 30, 2000
Date Revised: Februai T 9, 2001
Trademark/Model Designation
.....................................Replacement Elements
Turbidity
Organic Contaminants
Atrazlne
Lindane
2,4-D
Rated Service Capacity: 300 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.
* 500 gallons tor models that include a replacement filter indicator light.
For Purchases Made In Iowa: This fl)rm must be signed and dated bv the buyer and seller prior to the consunmmtion of this
sale. This form should be retained on file bv the seller fin" a minimum of two years.
BUYER: SELLER:
Name Name
Address Address
City State Zip City State Zip
Signature Date Signature Date
42
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