State of California
Department of Health Services
Water Treatment Device
Certificate Number
00-1434
Date Issued: May 30, 2000
Date Revised: February 9, 2001
Trademark/Model Designation
GE Smart Water Filtration
Replacement Elements
GE Smart
Manufacturer: Appliances
i
The water tre_ ,ant to Section
116830 of the
Microbiolo
Or
Turbidit_
Atrazine
Lindane
2,4-D
Rated Service Capacity: 300 gallons* 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.
* 500 gallons for models that include a replacement filter indicator light.
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
42
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