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State of California
Department
of Health
Services
Water Treatment Device
Certificate Number
06-1834
Date Issued:
December
6, 2006
Trademark!ModelDesi_nation
GEMSWF
_R_e_placement Elements
MS WF
Manufactnr
er: General Electric Company
to Section
Microbiological
Conga minants
and Turbidity
C3 sts
Furbiddy
_anic
Contaminants
Atrazine
Benzene
Carboflnran
I_anic!Radiol_ical
Conta
minants
Asbestos
Lead
Mercury
2, 4-D
Rated
Service
Capacity:
300 gals
Rated
Service
F10w: 0.90 gpm
Conditions
of Cer tification:
Do not use where water is microbiologically
unsafe or with water of unknown quality, except that systems certified for
c} st reduction may be used on disinfected waters that 'may contain filterable cysts.
ForPurchasesMade In Iowa: This
form
must
be
signed
and
dated
bx the
bmer
and
seller
prior
to the
coi_sulnlnation
of
this
sale.
This
form
should
be
retained
on file
b_ the
seller
for a minimmn
of two
_ears.
BUYER:
SELLER:
Nalne
Nalne
Address
Address
City
State
Zip
City
Siglmture
Date
Signature
42
State
Zip
Date
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