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Geophysical Survey Systems, Inc. HandySan

User’s Manual

MN70-380 Rev B

For U.S. Customers

Ground Penetrating Radar Coordination Notice And Equipment Registration

Note: This form is only for Domestic United States users. The Federal Communications

Commission (FCC) requires that all users of GPR who purchased antennas after July 15

, 2002

in question 6 after July 15

, 2002, you must fill out this form and fax or mail to the FCC.

Failure to do this is a violation of Federal law.

1. Date:

2. Company name:

3. Address:

4. Contact Information [contact name and phone number]:

5. Area Of Operation [state(s)]:

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