State of California

 

Department of Health Services

 

Water Treatment Device

 

Certificate Number

 

05 - 1698

 

Date Issued: February 2, 2005

 

 

 

 

Trademark/Model DesignationReplacement Elements

MWF

MWF

Manufacturer: General Electric Company

The water treatment device(s) listed on this certificate have met the testing requirements pursuant to Section

116830 of the Health and Safety Code for the following health related contaminants:

Microbiological Contaminants and TurbidityInorganic/Radiological Contaminants

Cysts

Asbestos

Turbidity

Lead

 

Mercury

Organic Contaminants

 

Alachlor

 

Atrazine

 

Benzene

 

Carbofuran

 

Lindane

 

Mercury

 

Toxaphene

 

1,4-dichlorobenzene

 

2,4-D

 

Rated Service Capacity: 300 galRated Service Flow: 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

 

 

 

Name

 

 

 

 

 

 

 

 

 

Address

 

 

 

Address

 

 

 

 

 

 

 

 

 

City

State

Zip

 

City

State

Zip

 

 

 

 

 

 

 

Signature

 

Date

 

Signature

 

Date

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