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State of California
Department of Health Services
Water Treatment Device
Certificate Number
97-133t
Date Issued: November 20, 1997
Date Revised: FebmaIy 26, I999
Trademark/Model Designation
Kenmore WR97X 10006
Kenmore Filtration System 469905
Manufacturer: Sears Roebuck & Co_
Replacement Elements
WR97X 10006
469905
The water treatment device(s) listed on this certificate have met the testing requirements pursuant to Section
116830 of the Health and Safety Code for the following health related contaminants:
Microbiolo_cal €ontarniiiants and :Turbidi_ _ : - Inorganic/Radiologieai Contaminants
Cysts (protozoan) ., Lead
Turbidity
Organic Contaminants :_- _::
None
Rated Service Capacity: 200 gallons ..... , . : RaGed Service Flow: 0_5 gpm
Do not use with water that is microbiologicaily 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 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
City State Zip
Signature Date
Name
Address
City State Zip
Signature Date
28
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