State of California
Department
of Health
Services
Water Treatment
Device
Certificate
Number
00-1434
Date issued:
May 30, 2000
Date Revised: February 9, 2001
Trademark/Model
Desi_nstfon
GE Sman Wa_er Filtration Syster_
- GWF06
Replacement
Elements
GWFI)6
GE Smart Wa_er FilwJtion Syste_as <_GWF
Turbidity
Organi€ Contaminants
Atrazinc
Lindane
2,4-D
Ratl_d Service Capacity:
300 gallons*
Rated Service FloW: 0.5 gpm
Do not use where water Is mlcroblotoglcally
unsnfe or with water of unknown quality, except that systems
claiming cyst reduction may be used on water containing
eystJ.
* 500 galfons for models that Include a replacement
filter Indicator
light.
For Purchases
Made [n Iowa: This form
must be signed
and dated
by tile buyer
and
seller
prior
m the consunlmation
of this
sale. This form
should
be retained
on file by tile seller
for a IniIliInuIn
of two years.
BUYER:
SELLER:
N_ne
N_ne
Address
Address
City
State
Zip
City
State
Zip
Signature
Date
Signature
Date
41