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Water treatment device certificate number – GE 29 User Manual

Page 35

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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 State

Zip

Signature Date

Signature Date

State of California

Department of Health Services

Water Treatment Device

Certificate Number

Date Issued: February 2, 2005

Trademark/Model Designation

Replacement Elements

1698

05 -

MWF

MWF

Manufacturer: General Electric Company

The water treatment device(s) listed on this certi cate have met the testing requirements pursuant to Section
116830 of the Health and Safety Code for the following health related contaminants:

Cysts
Turbidity

Asbestos
Lead
Mercury

Alachlor
Atrazine
Benzene
Carbofuran
Lindane
Mercury
Toxaphene
1,4-dichlorobenzene
2,4-D

Microbiological Contaminants and Turbidity

Inorganic/Radiological Contaminants

Organic Contaminants

Do not use where water is microbiologically unsafe or with water of unknown quality, except that systems certi ed for
cyst reduction may be used on disinfected waters that may contain lterable cysts.

300 gal

Rated Service Capacity:

0.5 gpm

Rated Service Flow:

Conditions of Certification:

35

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