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State of California
Department
of Health Services
Water Treatment Device
Certificate Number
06-1834
Date Issued:
December
6, 2006
The water
Cysts
Turbidity
Organic
Contaminants
Atrazine
Benzene
2.4-D
and Turbidity
pursuant
to Section
Rated
Service
Capacity:
300 gals
Rated
Service
Flow:
0.90 gpm
Conditions
of Certification:
Do not use where
water is
microbiologically
unsafe
or with water
of unkn0wn 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 minim
um of two xears.
BUYER:
SELLER:
Name
Name
Address
Address
Cit_,
State
Zip
Cit_,
Signature
Date
Signature
State
Zip
Date
97
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