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Treatment Device Certificate - GE GSHS6KGZCCSS Owner's Manual And Installation

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Stale of California
Department of Health Services
Water
Treatment
Device
Certificate
Number
06- 1834
(on some models)
Date Issued:
December
6, 2006
Trademark/Model
Designation
Replacement
Elements
GE MSWF
MSWF
Manufacturer
: General
Eleclric Company
The water
treatment
devic_i_)
listea
an *his ;e_ifi
_t_ ha_e
m;t
the _esfin_;
;qulreruents
pursuant
to Section
116830
of the Ilealth
an_
_afe_y
C_de fl_r th_:fdilb_'ing
hdaltiiYelated
co_tamina_l_s:
Micr
obiologicai
Cdn
_min_hts
and
Turbidity
....
cy ....
_-Dichlorobenze_g
....
I oxaphen
2, 4-D
Rated
Ser vice Capacity:
300 gals
0 90 gpln
eonaittoas
o1" cer _[fication:
....
Do no_ use where water is microbk)logical/y
unsafe o1:with water of unknown quality, except
thai systems
certified
Ibr
cyst reductkm
may be used on disinfected
waters that may contain
filterable cysts
State of ( alifornia
Department
of PubIic Health
Water
Treatment
Device
Certificate
N umber
05-
1698
{)ate Issued: February2, 2010
(on some models)
I radvmark/Modvl
tIcsi_natlon
Replacement
Element,
Manulhcturcr:
kJcncral
t-ice,rio
• -mlpa
I hv watvr trcatmvnt
dmice(s)
listed
on this cerfili_atc
h_ve rapt th 9 tosting
requirimlvnrs
pm'suant
t_J Svctiqm
1683O of thv Ilvalth
and Yiafvtv Code
f(}r the fo|lo_iil2
hvalth
relatvd
con}aminants:
Microbioh)gical
Contaminantu
and I urbidit_
Cysls
Inor oani_/Ra
di(flo_ical
Contaminant,
Organic
('ontamlnan_s
ArraAnc
3cnzmle
Carboturan
Endrin
i indane
1crrachlorocm3qcne
I oxapnene
1.4 dlchlor(
t)enzmlc
2. 4D
Ratod Service
('aoacitv:
I00 gal
Rated Service
l'h)w:
_ gpm
C_mdition_
of C_,rt_'ati_:
_
Do not use _here
water is microbiologically
unsa_
or with water of unknown
quality,
except
that systems
certified
%r cys_ red_ction
may be used on disin_ctcd
wa_s
that may contain
filterable
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
Name
Address
Address
city
State
Zip
City
Signature
Date
Signature
36
State
Zip
Date

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