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State of California
Department of Health Services
Water Treatment Device
Certificate Number
Date Issued: May 30, 2000
143400 -
GE Smart Water Filtration Systems - GWF06 GWF06
Manufacturer: General Electric Appliances
Cysts (protozoan)
Turbidity
Asbestos
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: SELLER:
Name Name
Address Address
City State Zip City State Zip
Signature Date Signature Date