Stateof California
Departmentof Health Services
Water Treatment Device
Certificate Number
06 - 1834
Date Issued: December 6, 2006
Ion some models)
Cysts
State ot ( alifomia
Department ot Public Health
Water Treatment Device
Certificate N umber
05- 1698
[)ate Issued: February 2, 2010
(on some models)
"lradelnark/_lodel DesiNnation Replat-ement Etelnents
Gk. _4\_t MWF
Manutacturer: ;eneral Electric L_)mpany
"lhe _ater treatment dcv_ce/s) l_sted on this cel_til]e_t e _'4e reel tile testing requh'emenrs pursuant to Suction
116830 of the Health and Sai;_ty ('ode tbr the follo_'iina health related containinants:
Microbiological Contaminants and '1urbidltv Inor Rani_/Radiologlcal Contaminants
-ysts
Organic Contaminants
Atrazmc
Bellzene
('arbofuran
_norln
Lmdane
I e*rachh roemylene
I oxa_nene
4-dlchlorm_enzene
2.4-D
Rated Service Capacity: 3(1(t gal Rated _;elwicb Flow: 05 gpm
Conditions i_fCertfflcati0n: ¸
Do no_ use where wa_er _smlc_ _bloiogically unsafe or wi_ water of unknown qualby, except tila_ s_Tems cer_lllea
for cyst reduction may be used on disin_cled wa_ers _na_ ma_ contain fiberable cysts
ForPurchasesMade in iowa: This form must be signed and doted by the buyer and seller prior to the consummation of this
sole. This form should be retained on file by the seller for (] minimum of two gears.
BUYER: SELLER:
Name Name
Address Address
City State Zip City
Signature Dote Signature
36
State Zip
Dote
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