The TOTO Aquia IV elongated skirted toilet Bowl with CEFIONTECT® is designed for use with the Aquia IV tank. When paired with its tank, the Aquia IV features TOTO’s DYNAMAX TORNADO FLUSH, utilizing a 360 degree cleaning power to reach every part of the bowl. The enhanced design of the Aquia IV inner bowl reduces water flow resistance and turbulence, resulting in a quieter flush. When paired with its tank, the Aquia IV meets the standards for EPA WaterSense®, and California’s CEC and CALGreen requirements. The Aquia IV comes ready for install into a 12" rough-in, but may be adapted for a 10" or 14" rough-in with the purchase of a separately sold adapter. Additional items needed for installation and use must be purchased separately: tank, wax ring, toilet mounting bolts, water supply lines, and toilet seat. TOTO CT446CEFGN Features: TOTO CT446CEFGN Technologies and Benefits: TOTO CT446CEFGN Specifications: