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Stateof California
Depar_ent of HealthServices
Water Treatment Device
Certificate Number
00-1434
Date Issued: May 30, 2000
Date Revised: Febma_ 9, 2001
Trademark/Model Deslmaaflon
GE Smart
L
ReDLucement Elemen_
Atrazine
Lindane
2,4-D
t to Section
Rated Service Capacity: 300 galions* Rated Service Flow: 0.5 gpm
Do not use where water is mierobiologicaliy unsafe or with water of unknown quality, except that systems
claiming cyst reduction may be used on water containing cysts.
* 500 gallons for models that include a replacement filter indicator light.
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 mininmnl of two years.
BUYER: SELLER:
Name Nmlle
Address Address
City State Zip City State Zip
Signature Date Signature Date
41
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