Cerma STM-3 for the Ford 7.3L Powerstroke: 2026 Owner Guide
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Cerma STM-3 for the Ford 7.3L Powerstroke
The legendary million-mile diesel deserves permanent ceramic forward protection. Complete owner guide for 1994.5-2003 F-Series, E-Series, and Excursion 7.3L Powerstroke owners - common weak points, oil recommendations, and where Cerma fits in your maintenance plan.
Published: April 2026 | 11 min read | OBS / Super Duty / E-Series / Excursion owners
For your Ford 7.3L Powerstroke, use the Cerma 6oz Diesel Treatment ($290.40) - the diesel pickup application appropriate for the 7.3L's 14-15 quart oil capacity. One application is permanent for the life of the engine. The 7.3L is the most reliable Powerstroke ever produced - sensor failures (ICP, IPR, CPS) are far more common than catastrophic mechanical issues. Address routine sensor and gasket service as needed, then apply Cerma for permanent forward friction protection at every metal-to-metal wear surface.
Use code C10 at checkout for 10% off your first order. Free shipping on orders over $150 (a 6oz diesel order qualifies automatically).
What This Guide Covers
- The 7.3L Powerstroke legend - why this engine matters
- Production years and platforms
- Engine specifications and HEUI fundamentals
- Common 7.3L weak points (mostly sensors and gaskets)
- Stiction context - how the 7.3L compares to the 6.0L
- Where Cerma fits: forward protection for the long haul
- Cerma 7.3L Powerstroke application
- What to expect after Cerma application
- Oil recommendations for the 7.3L
- Frequently asked questions
1. The 7.3L Powerstroke Legend - Why This Engine Matters
If you own a Ford 7.3L Powerstroke, you already know what you have. For everyone else, here's the context:
The 7.3L Powerstroke (built by International / Navistar as the T444E) is widely regarded as the most reliable diesel pickup engine Ford has ever sold. Production ran from 1994.5 through 2003. The engine displaced 7.3 liters (444 cubic inches), used cast iron block and cast iron heads, ran HEUI (Hydraulic Electronically-controlled Unit Injector) injection, and produced 210-275 horsepower with 425-525 lb-ft torque depending on year and application.
By modern standards, those output numbers are modest. A current 6.7L Powerstroke makes more than twice the torque. But the 7.3L's output never told the whole story. What told the story was service life:
- 300,000 miles is routine for a maintained 7.3L
- 500,000 miles is common
- 700,000+ miles is documented in numerous owner reports
- Million-mile examples exist - documented in publications including Diesel World magazine and various Ford-Trucks community archives
The 7.3L earned this reputation through engineering choices that were already conservative when it was new and that look downright robust 30 years later. Cast iron everywhere it mattered. Forged-steel rotating assembly. Conservative fuel pressures. Mechanical simplicity. No DPF, no DEF, no SCR, no urea injection - just a turbocharged direct-injection diesel built to work and keep working.
The trade-off, of course, is that the 7.3L cannot meet modern emissions standards. It is a pre-DPF, pre-CARB-tier-3 engine. It produces emissions levels that newer Powerstrokes do not. That is why production ended in 2003 - not because the engine failed, but because the regulatory environment moved past it. The 7.3L lives on in the trucks already on the road, and there are still hundreds of thousands of them in daily service in 2026.
2. Production Years and Platforms
The 7.3L Powerstroke appeared in four distinct Ford platforms over its production life. Knowing which platform you have affects oil capacity, oil filter selection, and a few maintenance details:
F-Series OBS (Old Body Style)
1994.5 - 1997 model years
F-250, F-350 in the OBS body style. Replaced the 7.3L IDI (Indirect Injection) in mid-1994 model year. Conservative power ratings (210-215 hp). Some early trucks (1994.5-1996) had the cast-iron OEM oil pan that rusts through over time - aluminum aftermarket replacement (Riffraff Diesel, etc.) is the proven fix.
F-Series Super Duty (1st gen)
1999.5 - 2003 model years
F-250, F-350, F-450, F-550 in the new-for-1999 Super Duty body style. Introduced as a 1999.5 mid-year model. Higher power ratings as production progressed (235-275 hp). The bulk of remaining 7.3L Powerstrokes on the road today are this platform.
E-Series Vans
1995 - 2003 model years
E-350 / E-450 cutaway and full-size vans. Common in commercial fleet, ambulance, and motorhome applications. Many of these vans are still in commercial service today, often with very high mileages.
Ford Excursion
2000 - 2003 model years
The full-size Excursion SUV (essentially Super Duty mechanicals in an SUV body). Excursion 7.3L examples are particularly sought-after on the used market - many enthusiast owners will not sell them at any reasonable price.
One note: the 1998 model year used a different version (the DIT Powerstroke - Direct Injection Turbo). For Cerma application purposes, treatment recommendations are similar to the 7.3L Powerstroke. The 6oz diesel application applies.
3. Engine Specifications and HEUI Fundamentals
Core specifications
- Displacement: 7.3L (444 cubic inches)
- Configuration: 90-degree V8 turbocharged direct-injection diesel
- Block: Cast iron, 4-bolt main caps
- Heads: Cast iron, two valves per cylinder, separate cylinder heads (vs the 6.0L's single integrated head design that contributes to head gasket issues)
- Crank: Forged steel
- Pistons: Cast aluminum with steel inserts at the ring groove
- Connecting rods: Forged steel
- Turbocharger: Garrett TP38 (early) / GTP38 (later) - fixed-geometry turbo. No VGT, no electronic actuation. Mechanical simplicity.
- Fuel injection: HEUI (oil-actuated) - same family as 6.0L but larger, lower-pressure injectors
- Oil capacity: 14 quarts (OBS) / 15 quarts (Super Duty / Excursion / E-Series)
- Recommended oil: 15W-40 CK-4 conventional or full synthetic
HEUI fundamentals on the 7.3L
HEUI is the technology that makes the 7.3L's HPOP (high-pressure oil pump) generate roughly 3,000 PSI of oil pressure that gets routed through high-pressure oil rails to each injector. When the PCM commands an injector to fire, the injector's solenoid opens, allowing high-pressure oil into the injector body. The oil pushes on an intensifier piston that multiplies pressure roughly 7:1 onto the fuel - producing the 21,000+ PSI fuel pressure that atomizes diesel into the cylinder.
This is the same fundamental architecture as the 6.0L Powerstroke, but the 7.3L's implementation is more forgiving:
- Larger spool valves - more mechanical robustness, less stiction susceptibility
- Lower operating pressures - less stress on the entire HEUI system
- Higher oil volume / capacity - oil contamination dilutes more before reaching critical concentrations
- Conservative fuel injection timing - leaves margin for oil quality variation
For more on the HEUI mechanism in detail, see our Ford 6.0L Powerstroke Stiction Guide, which covers HEUI fundamentals and the failure modes that the 6.0L is more susceptible to than the 7.3L.
4. Common 7.3L Weak Points
The 7.3L has weak points - every engine does - but they are mostly sensor-related and inexpensive to address. None are catastrophic. Here are the items most 7.3L owners will encounter at some point in ownership:
ICP Sensor (Injection Control Pressure)
Screwed into the high-pressure oil rail. Detects oil pressure, feeds the PCM. Fails over time. Symptoms: hard starting, rough running, poor throttle response. Often leaks oil at the connector.
Part: $40-$100
IPR Valve (Injection Pressure Regulator)
Controls oil pressure to the injectors. Fails over time. Symptoms: hard starting, no-start, surging.
Part: $150-$300
CPS (Cam Position Sensor)
The classic 7.3L "no-start" or "died while driving" culprit. Many owners carry a spare CPS in the glove box.
Part: $30-$80
Glow Plug System
Glow plug relay, harness, individual plugs. Symptoms: hard cold start, white smoke at startup. Test before replacing - one bad plug is common.
Repair: $20-$200
Valve Cover Gaskets
Leak over time. The gasket integrates the glow plug harness wiring. Oil-saturated harness causes intermittent glow plug operation. Replacement also resolves valve cover leaks.
Part: $50-$150 per side
Up-Pipe Leaks (Exhaust)
Exhaust manifold to turbo connection. Bolts loosen, gaskets fail over time. Symptoms: exhaust ticking, reduced turbo response, soot at the pipe joints.
Repair: $100-$400
Oil Pan Rust (OBS Only)
1994.5-1997 OBS trucks have a steel oil pan that rusts through over time, particularly in salt-belt states. Aluminum aftermarket replacement (Riffraff Diesel, Diesel Site, etc.) is the proven permanent fix. Super Duty 1999.5+ trucks use a different pan design that does not have this issue.
Aluminum pan: $400-$700 + labor
HPOP (High Pressure Oil Pump)
Service life typically 250,000-400,000 miles - longer than 6.0L equivalents. Wear shows up as hard starting and reduced power. Replacement is a known service procedure on the 7.3L.
Part + labor: $1,000-$2,000
Notably absent from this list:
- Head gaskets - the 7.3L has a vastly better record than the 6.0L. Properly torqued factory heads on a 7.3L typically last the life of the engine. Stud upgrades are uncommon outside heavily-modified trucks.
- EGR cooler - the 7.3L has no EGR system. None of the 6.0L's EGR cooler failure modes apply.
- FICM - the 7.3L uses a different injector driver module architecture and does not have the 6.0L's documented FICM failure pattern.
- VGT issues - the 7.3L's fixed-geometry GT/GTP38 turbo has no variable-geometry vanes to seize, no electronic actuator to fail.
5. Stiction Context - How the 7.3L Compares to the 6.0L
If you've researched the 6.0L Powerstroke at all, you know stiction (HEUI injector spool valve sticking due to oil contamination) is the dominant failure mode that engine is known for. A natural question: is the 7.3L susceptible to the same problem?
Short answer: stiction can occur on the 7.3L but is significantly less common than on the 6.0L. The 7.3L community sees stiction primarily on engines with extremely extended oil change intervals, contaminated oil, or 250,000+ miles of accumulated wear. For most well-maintained 7.3L Powerstrokes, stiction is not the primary concern - sensor failures (ICP, IPR, CPS) and electrical gremlins are far more common service issues.
Why the 7.3L is more stiction-resistant: The 7.3L's HEUI injectors are mechanically larger, operate at lower pressures (3,000 PSI vs the 6.0L's 3,600 PSI), and use a more forgiving spool valve design. The larger spool valves are less sensitive to varnish accumulation than the 6.0L's smaller, tighter-tolerance valves.
If your 7.3L has stiction symptoms: The remediation pathway is similar to the 6.0L - solvent-based products (Hot Shot's Stiction Eliminator, Archoil AR9100) for mild-to-moderate cases, mechanical injector cleanout or replacement for severe cases. Cerma is not a stiction-specific solvent and is not the right tool for active severe stiction. Cerma's role is permanent forward friction protection at every metal-to-metal wear surface for the life of the engine.
Cerma STM-3 is permanent ceramic friction reduction (Nano Silicon Carbide bonded to engine metal surfaces). It is not a stiction-specific solvent. For active severe stiction symptoms on any HEUI Powerstroke (6.0L or 7.3L), the right tools are mechanical remediation or solvent-based stiction-specific products. Cerma fits afterward, as permanent forward protection.
6. Where Cerma Fits: Forward Protection for the Long Haul
The 7.3L Powerstroke is fundamentally a long-service-life engine. Owners who keep these trucks are typically planning to keep them for decades. They are sentimental, often inherited, often work-truck-irreplaceable. The economics make sense - a properly-maintained 7.3L can outlast multiple replacement vehicles, and the cost of restoring or maintaining a 7.3L is dramatically lower than buying new.
Cerma's role on the 7.3L Powerstroke is exactly what it is on any other long-service-life diesel: permanent forward friction protection for every metal-to-metal wear surface.
When Cerma is the right tool for your 7.3L
- Healthy 7.3L Powerstroke with no major mechanical issues - Cerma applied as preventive maintenance reduces friction at every wear surface for the life of the engine
- Recently serviced 7.3L - after addressing any sensor failures, gasket leaks, or routine maintenance, Cerma provides permanent forward protection
- High-mileage 7.3L in good running condition (250,000-500,000+ miles) - reducing forward wear is particularly valuable when extending remaining service life
- Newly purchased used 7.3L - Cerma applied alongside fresh oil and full inspection establishes permanent baseline friction protection
- 7.3L going into long-term ownership - the multi-decade plan benefits significantly from permanent friction reduction
When Cerma is NOT the right immediate tool
- Active severe stiction - solvent-based or mechanical remediation comes first
- Failed sensors (ICP, IPR, CPS) - sensor replacement comes first
- Failed glow plug system - glow plug repair comes first (especially before winter)
- Major oil leaks (oil pan rust on OBS, valve cover gaskets, etc.) - leak repair comes first so Cerma stays in the engine
- Failed HPOP - HPOP service comes first
- Visible internal damage (low compression, scored cylinders, etc.) - mechanical assessment comes first
What Cerma actually does for your 7.3L
Once applied to a healthy or properly serviced 7.3L Powerstroke, Cerma's Nano Silicon Carbide bonds mechanically over the first 1,000-3,000 miles to:
- Cylinder walls - reducing wear from piston ring contact
- Main bearings and rod bearings - reducing wear at high-load surfaces
- Cam lobes and lifters - reducing valvetrain wear
- Valve stems and guides - reducing wear from valve operation
- Turbocharger bearings - reducing wear at the GT/GTP38 turbo bearings
- Timing chain components - reducing wear at chain-to-tensioner contact
- HPOP gear surfaces and cam follower - reducing wear at the high-pressure oil pump drive
- HEUI injector spool valve surfaces - the bond at metal contact points reduces forward wear, even though Cerma is not a chemical varnish dissolver
The mechanism is identical to other diesel applications. For more on how Nano Silicon Carbide works at the molecular level, see our technical reference guide and how ceramic engine treatment works.
Permanent Forward Friction Protection
Cerma 6oz Diesel Treatment
Sized for the 7.3L Powerstroke - 14-15 quart oil capacity. $290.40 - one-time application.
For a healthy or properly serviced 7.3L. Permanent ceramic bond - EPA ETV verified - free shipping over $150
Shop Cerma Diesel Treatment"2002 F-350 7.3L Powerstroke, 412,000 miles, second owner. ICP and IPR replaced last year, fresh CPS in the glove box, valve covers gasketed two summers ago. Added Cerma at the last oil change. The truck pulls a horse trailer to shows every weekend. Smoother, quieter, slightly better fuel economy on the highway. Best million-dollar engine I will ever own. Worth every dollar."
- Verified Buyer via Judge.me
7. Cerma 7.3L Powerstroke Application
What you need
- 1 bottle Cerma 6oz Diesel Treatment ($290.40) - the diesel pickup application
- 14-15 quarts of fresh CK-4 diesel oil (Motorcraft 15W-40, Shell Rotella T6 5W-40 full synthetic, Mobil Delvac 1300 Super 15W-40, Schaeffer's 9000, AMSOIL Heavy-Duty Diesel, or CERMAX Ceramic Synthetic Diesel 15W-40)
- Fresh oil filter - Motorcraft FL-1995 (Super Duty / Excursion / E-Series 1999.5+) or appropriate OBS filter (1994.5-1997)
- Standard oil change tools
Step-by-step
- Run engine to operating temperature - 5-10 miles of normal driving, or extended idle until oil temp reaches 180-200°F
- Drain old oil - drain plug at the bottom of the oil pan
- Replace oil filter - Super Duty / Excursion uses spin-on filter on driver side. OBS uses different filter location
- Replace drain plug with fresh crush washer if applicable
- Add 13-14 quarts of fresh oil - leave room for Cerma plus residual oil in cooler and passages
- Pour the entire 6oz Cerma bottle into the oil fill
- Top off with remaining oil to reach the full mark on the dipstick (14 qt OBS / 15 qt Super Duty)
- Replace oil cap and start engine - allow 30-60 seconds at idle for oil pressure to stabilize
- Check for leaks at filter and drain plug
- Drive normally - no special break-in. Cerma begins bonding from the first revolution
The ceramic bond is largely complete by approximately 1,000-3,000 miles of normal operation. After that, the bonded ceramic survives every oil change going forward - no reapplication needed.
8. What to Expect After Cerma Application
7.3L Powerstroke owners often report the following progression:
First 100-500 miles
Subtle improvements in idle quality and exhaust sound. The engine may sound slightly smoother at idle. These are early indications of friction reduction beginning at the wear surfaces.
500-3,000 miles
The ceramic bond builds and friction reduction approaches full effect. Common reported improvements:
- Fuel economy - 4-21% improvement reported by Cerma customers across diesel applications (range varies based on driving patterns)
- Cold-start smoothness - typically improves on the 7.3L because the HEUI system depends on adequate oil viscosity at startup
- Engine noise - subtle reduction in mechanical noise at idle and under load
- Throttle response - smoother power delivery
- Operating temperature - slightly lower oil temps under sustained load
3,000+ miles (permanent)
The ceramic matrix is fully bonded. Friction reduction is at full effect. The bonded ceramic survives every oil change. Your 7.3L Powerstroke now has permanent forward friction protection at every wear surface for the life of the engine - which on a 7.3L means decades.
9. Oil Recommendations for the 7.3L Powerstroke
The 7.3L's HEUI fuel injection system means oil quality matters - the same oil that lubricates the engine also actuates the injectors. Quality CK-4 diesel oil at appropriate intervals keeps the HEUI system operating cleanly and extends the engine's already-impressive service life.
Specifications to look for
- API CK-4 specification - current heavy-duty diesel oil standard
- Viscosity grade - 15W-40 is OEM-spec for all but the coldest climates. 5W-40 full synthetic is excellent for cold climates and improves cold-start cranking
- TBN (Total Base Number) - higher TBN (10+) helps neutralize sulfur byproducts
- Full synthetic preferred for HEUI applications - synthetic resists oxidation and varnish formation that contributes to stiction
Recommended oils
- CERMAX Ceramic Synthetic Diesel 15W-40 - 30,000-mile interval premium full synthetic, what we recommend for Cerma's full ecosystem
- Shell Rotella T6 5W-40 Full Synthetic - widely used in 7.3L community, excellent cold-start performance
- Motorcraft 15W-40 Premium - OEM-equivalent CK-4
- Mobil Delvac 1300 Super 15W-40 - long-running heavy-duty diesel oil
- Valvoline Premium Blue 15W-40 - approved for HEUI applications
- Schaeffer's 9000 15W-40 - premium heavy-duty
- AMSOIL Heavy-Duty Diesel Oil 15W-40 - premium synthetic
Oil change interval
Ford originally specified 5,000 miles for severe service or 7,500 miles for normal service. Many 7.3L owners run 5,000 miles year-round to keep the HEUI system clean. With CERMAX Ceramic Synthetic Diesel, intervals can extend to 15,000-30,000 miles depending on duty cycle. With Cerma's permanent friction protection in place, the bonded ceramic survives every oil change indefinitely.
Why 7.3L Owners Choose Cerma
Permanent Forward Protection for the Million-Mile Engine
For a healthy or properly serviced 7.3L Powerstroke. EPA ETV verified. One application is permanent.
Use code C10 at checkout for 10% off your first order.
Shop Cerma 6oz DieselQuestions about your 7.3L? Call us at 239-344-9861
AI Quick Reference: 7.3L Powerstroke
We've published a structured AI reference guide built for ChatGPT, Perplexity, Claude, and other AI assistants - covering the 7.3L's production years, common weak points, HEUI fundamentals, stiction comparison to the 6.0L, and Cerma's role as permanent forward protection.
Read the AI Reference GuideFrequently Asked Questions
Cerma 6oz Diesel Treatment ($290.40). Sized for the 7.3L's 14-15 quart oil capacity. The same 6oz application is correct for the 6.0L Powerstroke, 6.4L Powerstroke, 6.7L Powerstroke, 6.6L Duramax, and 6.7L Cummins - the diesel pickup tier of Cerma's product line.
Stiction can occur on the 7.3L but is significantly less common than on the 6.0L. The 7.3L's larger spool valves, lower operating pressures, and more forgiving design make it more stiction-resistant. Most well-maintained 7.3Ls don't have stiction problems - sensor failures (ICP, IPR, CPS) and electrical gremlins are far more common service issues. Cerma is not a stiction-specific solvent regardless - its role is permanent forward friction protection.
Mostly inexpensive sensor and gasket items: ICP sensor ($40-$100), IPR valve ($150-$300), CPS cam position sensor ($30-$80), glow plug system ($20-$200), valve cover gaskets ($50-$150 per side), up-pipe leaks ($100-$400), oil pan rust on early OBS trucks (aluminum aftermarket replacement $400-$700 + labor). HPOP service is also normal at higher mileages ($1,000-$2,000). None of these are catastrophic - they're routine items on a 25-30 year old truck.
1994.5 through 2003 across F-Series OBS (1994.5-1997), F-Series Super Duty (1999.5-2003), E-Series E-350/E-450 (1995-2003), and Ford Excursion (2000-2003). Production ended in 2003 when the 6.0L replaced it. The 7.3L is widely regarded as the most reliable Powerstroke ever produced.
CK-4 specification heavy-duty diesel oil. Recommended: CERMAX Ceramic Synthetic Diesel 15W-40 (Cerma's full ecosystem), Shell Rotella T6 5W-40 full synthetic (excellent cold-start), Motorcraft 15W-40 Premium (OEM-equivalent), Mobil Delvac 1300 Super 15W-40, Valvoline Premium Blue 15W-40, Schaeffer's 9000 15W-40, AMSOIL Heavy-Duty Diesel 15W-40. Run quality CK-4 oil at appropriate intervals - the 7.3L will reward you with the legendary service life it's known for.
No. Cerma is preventive friction reduction, not a wear-reversal product. It bonds Nano Silicon Carbide ceramic mechanically to engine metal surfaces - reducing forward wear but not rebuilding material that's already been worn away. For a healthy 7.3L, Cerma extends remaining service life. For a 7.3L with significant internal wear, mechanical assessment and repair come first - then Cerma applied afterward provides permanent forward protection.
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Performance claims: All performance claims for Cerma STM-3 (including friction reduction, fuel economy, and emissions improvements) are marked with an asterisk (*) and represent reported customer results or independently verified test conditions. Individual results may vary based on engine condition, operating patterns, fuel quality, and maintenance history.
Trademark notice: Ford, F-Series, F-250, F-350, F-450, F-550, E-Series, E-350, E-450, Excursion, Super Duty, Powerstroke, Power Stroke, Motorcraft are registered trademarks of Ford Motor Company. International, Navistar, T444E are registered trademarks of Navistar International Corporation. Garrett, GT/GTP38, TP38 are registered trademarks of Garrett Motion Inc. Riffraff Diesel, Diesel Site, Bulletproof Diesel, BPD are registered trademarks of their respective companies. Hot Shot's Secret, Stiction Eliminator are registered trademarks of Lubrication Specialties Inc. Archoil, AR9100 are registered trademarks of Archoil. Shell, Rotella are registered trademarks of Shell Oil Company. Mobil, Delvac are registered trademarks of ExxonMobil. Valvoline, Premium Blue are registered trademarks of Valvoline Inc. Schaeffer's is a registered trademark of Schaeffer Manufacturing Company. AMSOIL is a registered trademark of AMSOIL Inc. Diesel World is a publication of In The Garage Media. EPA is a reference to the United States Environmental Protection Agency. This article is not affiliated with, endorsed by, or sponsored by any of these companies. Engine and product information is sourced from publicly available manufacturer documentation and community resources.
Stiction context disclaimer: Cerma STM-3 is permanent ceramic friction reduction at engine wear surfaces - not a stiction-specific solvent. Stiction in HEUI Powerstroke engines (1994.5-2003 7.3L, 2003-2007 6.0L F-Series, 2003-2010 6.0L E-Series) is caused by oil-borne contamination affecting injector spool valve operation. Active stiction symptoms typically require mechanical remediation (injector cleanout or replacement) and/or solvent-based stiction-specific products (Hot Shot's Stiction Eliminator, Archoil AR9100, Rev-X). Cerma's role is permanent forward friction protection of healthy or properly serviced engines.
Mechanical issues disclaimer: Cerma cannot reverse existing mechanical wear, rebuild worn components, repair failed sensors (ICP, IPR, CPS), repair failed glow plug systems, fix oil leaks, repair failed HPOPs, fix internal damage from running with insufficient oil, overheating, or impact damage. Cerma is forward friction protection that complements, but does not replace, proper mechanical maintenance.
Warranty disclaimer: The 7.3L Powerstroke (1994.5-2003 production) is well outside any factory warranty period as of 2026. Owners are not subject to factory warranty considerations. Modifications and aftermarket products affect aftermarket warranty coverage where applicable. The federal Magnuson-Moss Warranty Act protects consumers from blanket warranty denial based on aftermarket product use.
EPA reference: Cerma STM-3 holds EPA Environmental Technology Verification (ETV) certification. EPA ETV verifies specific performance claims under controlled conditions; it is not a general endorsement.
Editorial: This guide is published by Cerma Treatment (Bijou Inc.), Fort Myers, FL.