GE Smart Water Filtration Systems - GWF06
Manufacturer: General Electric Appliances
Cysts (protozoan)
Turbidity
Atrazine
Lindane
2,4-D
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:
Name
Address
City
State
Signature
State of California
Department of Health Services
Water Treatment Device
Certificate Number
Date Issued: May 30, 2000
300 gallons
SELLER:
Name
Address
Zip
City
Date
Signature
00 -
1434
GWF06
Asbestos
Lead
State
0.5 gpm
Zip
Date
29