State of California
Department
of Health
Services
Water Treatment Device
Certificate Number
06-1834
Date Issued:
December
6, 2006
Tr ademark/Mudel
Designation
GE MSWF
Replacement
Elements
MSWF
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
Coh_aminfints
and Turbidity
lnnr gank/Radiologicai
Contaminants
Cysts
ASbestOs
____Lead
Turbidity
Me oury
Organic
Contaminants
Atrazine
Benzene
Carbofluran
Lindane
2, 4-D
Rated
Service
Ca pacity:
300 gals
Rated
Service
Flow:
0.90 gpm
Conditions
of Certification:
Do not use where water is microbiotogically
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 fornl
must
be signed
and dated
bx the bmer
and seller
prior
to the coi_sulnnmtioll
of this
sale. This form
should
be retained
on file b_ the seller
for a nfii_inmll_
of two years.
BUYER:
SELLER:
Name
Name
Address
Address
CiP,'
State
Zip
CiP,'
Signature
Dam
Siglmture
State
Zip
Date
?7