GE GSE25HMHES, GSE25HSHSS (on some models)

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
36
State of California Department of Public Health
Water Treatment Device
Certificate Number
05-1698
Date Issued: February 2,2010
Modified June 25, 2013
Trademark/Model Designation Replacement Elements
GE MWF MWF
PLWF
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 Turbidity Inorganic/Radiological Contaminants
Cysts Asbestos
Lead
Mercury
Organic Contaminants
Carbofuran
Endrin
p-Dichlorobenzene
Benzene
Atrazine
Lindane
Tetrachloroethylene
Toxaphene
2,4- D
Rated Service Capacity 300 gallons Rated Service Flow: 0.5 gallons per minute
Conditions of Certification
Do not use where water is microbiologically unsafe or with water of unknown quality, except that systems
for cyst reduction may be used on disinfected waters that contain filterable cysts.
(on some models)
(on some models)