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State of California
Department
of Health Services
Water Treatment Device
Certificate Number
97-1291
Dale Issued: June
10, 1997
Trademark/Model
Designation
Replacement
Elements
(;E Wa/er by Culli_an
Filualion
System FXR(
None
Manufacturer: Culli_zan lnterna/ional
Company
The water treatment device(s) listed on this certificate have met the testing requirements pursuant to Section 116830of the
Health and Safety Code for the following health related contaminants:
Microbiological Contaminants
and Turbidity
C_ts (pro/ozoanl
Turbidi/y
Organic Contaminants
None
Inorganic/Radiological
Contaminants
[_ead
Rated Service Capacity: 200 galh)ns
Rated Service Flow: 0.5 gpm
Do not use where water is microbiologically
unsafe or with water of unknown quality, except that systems claiming cyst reduction may be
used on water containing cysts.
For Purchases Made In Iowa: This fi)rm must be signed and dated by ll_e buyer and seller prior
to the consummation
of tiffs
sale. This ti)rm should
be retained
on tile by the seller
for a minimum
of two years.
BUYER:
SELLER:
N_e
N_e
Address
Ad(hess
(i/y
Stale
Zip
(i/y
Signa/ure
Date
Signa/ure
Slate
Zip
[)ale
35
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