GE 200D2600P001, 21 Water Treatment Device Certificate Number, Buyer, Seller

Models: 21 200D2600P001

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Water Treatment Device

State of California

Department of Health Services

Water Treatment Device

Certificate Number

00 - 1434

Date Issued: May 30, 2000

GE Smart Water Filtration Systems - GWF06

GWF06

Manufacturer: General Electric Appliances

Cysts (protozoan)

Asbestos

Turbidity

Lead

Atrazine

Lindane

2,4-D

300 gallons

0.5 gpm

 

 

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

Zip

SignatureDate

SELLER:

Name

Address

City

State

Zip

SignatureDate

34

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GE 200D2600P001, 21 installation instructions Water Treatment Device Certificate Number, Buyer, Seller