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GE Smart Water Filtration Systems - GWF06
GE Smart Water Filtration Systems - GWF
Hotpoint Refrigerator Systems - HWF
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
42
Department of Health Services
Water Treatment Device
Certificate Number
Date Issued: May 30, 2000
Date Revised: February 9, 2001
General Electric Appliances
300 gallons*
Zip
Date
State of California
00 -
1434
GWF06
GWF
HWF
Asbestos
Lead
SELLER:
Name
Address
City
Signature
0.5 gpm
State
Zip
Date
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