GSSI StructureScan Mini XT Manual page 7

Geophysical Survey Systems, Inc.
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
equipment and areas of operation. It is required that you 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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StructureScan™ Mini XT
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, 2002 register their
Manual