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Trademark/Model Designation
State of California
Departlnent of Health Services
Water Treatment Device
Certificate Number
00-1434
Date Issued: May 30, 2000
Date Revised: February 9, 2001
..................................................Replacement Elements
The
116830
ant to Section
Org:
Atrazine
Lindane :
2A-D :
i
Rated Service Capacity: 300 gallons* Rated Service Flow: 0.5 gpm
* 500 gallons for models that include a replacement filter indicator light.
Do not use where water is microbiologically unsafe or with water of unknown quality, except that systems
claiming cyst reduction may he used on water containing cysts.
For Purchases Made In Iowa: This form must be signed and dated b_ the bmer and seller prior to the consunmmtiola of
this sale. This hwln should be retained on file bx the seller for a nfilfinmm of two years.
BUYER: SELLER:
Name Name
Address Address
City State Zip City State Zip
Signature Date Signature Date
2_3
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