Installation Guide

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
St a t e of Califo rn ia
Department of Health Services
Water Treatment Device
Certificate Number
Date Issued: February 2, 2005
Trademark/Model Designation
Replacement Elements
169805 -
MWF MWF
Manufacturer: Ge n e ra l Ele ct ric Com p an y
The water treatment device(s) listed on this certi cate have met the testing requirements pursuant to Section
116830 of the Health and Safety Code for the following health related contaminants:
Cysts
Turbid ity
Asbestos
Lead
Mercury
Ala c h lo r
At r a z in e
Be n z e n e
Carbofuran
Li n d a n e
Mercury
To xa p h e n e
1,4-dichlorobenzene
2,4-D
Microbiological Contaminants and Turbidity
Inorganic/Radiological Contaminants
Organic Contaminants
Do not use where water is microbiologically unsafe or with water of unknown quality, except that systems certi ed fo
r
cyst reduction may be used on disinfected waters that may contain lterable cysts.
300 galRated Service Capacity:
0.5 gpm
Rated Service Flow:
Conditions of Certification:
35