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State of California
Department
of Health Services
Water Treatment
Device
Certificate
Number
05 - 1698
Date Issued:
February 2, 2005
Trademark/Model
Designation
MWF
Replacement
Elements
MWF
Manufacturer:
General ElectricCompany
to Section
Cysts
Turbidity
Organic
Alachlor
Atrazine
Benzene
Carbofuran
Lindane
Mercury
Toxaphene
1,4-dichlorobenzene
2,4-D
Inor_
adiolo_ical
C0ntamin
ants
R_to,1 _ervice
Capacity:
300 gal
0.5 gpm
Conditions
of Certification:
Do not use where water is microbiologically
unsafe or with water of unknown quality, except that systems certified for
cyst reduction may be used on disinfected
waters 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
Address
City
State
Zip
Signature
Date
Name
Address
City
State
Zip
Signature
Date
26
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