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Environmental and Workplace Health

Survey Of Drinking Water Treatment Devices - Available On The Canadian Retail Market In 1999

Table of Contents

Appendix B - Form

Drinking Water Treatment Device Information Form
*Population Centre:
*Source of Information:

Device
*Name
*Model Number

Other ID

Manufacturer
*Name

Address

*(Location-city & state/province)
Telephone :
 Fax :
 Email :
 Website :

Distributor

Name

Address
Telephone :
 Fax :
 Email :
 Website :

Certification
*ANSI/NSF Standard(s)

NSF-

    
*Other Standard

Certification Organization
*Name

Address

*(Location-city & state/province)
Telephone :
 Fax :
 Email :
 Website :
*Performance Claims: ?

*Essential Data

Table of Contents
Date Modified: 2008-09-12

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