The TOTO(R) Drake(R) Transitional Two-Piece Elongated 1.28 GPF Universal Height TORNADO FLUSH(R) Toilet with 10 Inch Rough-In and CEFIONTECT(R) is a beautifully designed high profile toilet. The Drake features TOTO's TORNADO FLUSH(R), a rimless, hole-free design with dual-nozzles that creates a centrifugal washing action that assists in rinsing the bowl more efficiently. This version of the TOTO Drake includes CEFIONTECT(R), a layer of exceptionally smooth glaze that minimizes waste from sticking to the ceramic. CEFIONTECT, coupled with TORNADO FLUSH, assists to reduce the frequency of toilet cleanings, minimizing the usage of water, harsh chemicals, and time required for cleaning. This version of the TOTO Drake is designed in TOTO's Universal Height, which allows for a more comfortable seat position across a wide range of users. This version of the Drake has a left-hand chrome trip lever, is ADA compliant, and meets the standards for EPA WaterSense(R), and California's CEC and CALGreen requirements. The Drake bowl and tank set includes a tank to bowl gasket, tank to bowl hardware, and toilet bolt caps. Additional items needed for installation and use must be purchased separately: wax ring, toilet mounting bolts, water supply lines, and toilet seat.