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State of California
Department of Health Services
Water Treatment Device
Certificate Number
97-1291
Date Issued: June
1O, 1997
Trademark/Model
Designation
Replacement
Elements
None
Manufacturer'. Culliuan
Ii_ternational
Company
The water treatment
device(s) listed on this certificate
nave met the testing requirements
pursuant
to Section
116830 of the
Health and
Safety
Code for the
following
health related contaminants:
Microbiological Contaminants
and Turbidity
cysts (pro/o×oanl
Turbidity
Organic Contaminants
None
Inorganic/Radio/ogica/
Contaminants
=ead
Rated Service Capacity: 200 gallons
Rated Service Flow'. 0.5 ,qq_)m
Bo not use where water is microhiologically
unsafe or with water of unknown quali_ except that systems clahning 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
(',it}'
State
Zip
Signature
Date
Name
Ad(hess
(',it}'
State
Zip
Signature
Date
27
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