State Of California Water; Treatment Device Certificate - GE Profile 162D9617P008 Owner's Manual

Trademark/Model Designation
GE Water by Culligan Filtration System FXRC
Manufacturer: Culligan International Company
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:
Microbiological Contaminants
and Turbidity
Cysts (protozoan)
Turbidity
Organic Contaminants
None
Rated Service Capacity: 200 gallons
Do not use where water is microbiologically 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:
Name
Address
City State
Signature
State of California
Department of Health Services
Water Treatment Device
Certificate Number
97-1291
Date Issued: June 10, 1997
Rated Service Flow: 0.5 gpm
SELLER:
Name
Address
Zip City
Date Signature
Replacement Elements
None
Inorganic/Radiological
Contaminants
Lead
State Zip
Date
35