Second Navy range fouler release

!!.I!CPU!'I'iI'I\I!L TO ~:')::!c , r ll!Y Tracking Number (Internal Use Only) LI________....J
Range Fouler Reporting Form
Please do not use the purple
"submit" button above. Save and
email the complete file manually
(see below).
Please complete this form to the best of your ability. If you do not have the requested information , please leave
the field blank. If there was more than one "group," please report each on a separate form for data collection
purposes. Please recognize that this form is classified eEOFlETHFlEL, and treat your inputs as you would any
other classified government information. You should receive a response within 7 business days.
Last Nome, First Name Rank Squadron SIPR Email Address CIOW PosmOll
~--------~I I~~I ~I____~I ~I________~I~I__~
UAPTF sanitizes all reports of Identifying Information. Your personal informalion will remain completely private, and is
,-ec/nested for potential futtl/'e delJriefing purp oses only. Ali Intel and Ops addressees have signed confidentiality stat.:Jmenrs to
protect yow identities and tl1e information il1 these reports.
,lUg-I II ICJI II /IDal. (mm/ddIyy) Time of detection Day / Nigilt SIde No. '---=8=-u-no--" Mission Description (CAS. BFM, elc) '---"'_!lWinr~
(hh:mm:ss Z)
~~~~I~I~~~I[]~I~~~I[]I~~I~I~~I~I~~=-~Geographic location Contact Latitude NIS Contact Longitude E/W PlatfmfJ/ Altitude Object Altitude Wind Dir / W1nd Speed
(Ex: W~72 1A) (DD:MM:SS) (DD:MM:SS) (Ex 22000) (at Contact All)
Ple8s~pt to determine [J Lnt J Long for tile contDct at initial detection. We recommend
using Ylllilo referell<-"6 the sensor-derived be8ring and range relative to tile bullseye you had
in lise. Ift/wt met/lad is not available, [lny rellsQnable derivaHoll of location will workl but
please be as specific as possible and make a !lote ill the comments section. TIIese locatIons
may be used to cue oflJer means of tracking.
(b) (1 )
# of Contacts in
IlGroup":
(b) (1)
(b) ( 1) ..
(b) (1 )
Was the contact moving? I
Direction/Speed I~====~
(Ex. 090115) ~
Plea se check all that apply:
Round:
Square:
Balloon-shaped:
Wings/Ai/frame : Translucent.
Olher Shape:
Apparent Propulsion:
Please use the field below to describe the contact and what happened in your own words with as much detail as
possible. Please be sure to include any detail not included in questions above.
(b) (1 ) 1 object traveling east with winds from west.
DUU)j1e "submit" button! Save this form with filename "Date Locat/on_Squadron_RF.pdf" and
the at
in the global). For troubleshooting, call (b)( 1)
Thank you for your time. Please ensure all display tapes are ripped for the entire time of interaction and saved as
. a .wmv (Example: . Squadron intel personnel shall upload those files to the repository
located at this link. (b) (1)
3EefttTHREL 18 !:fSA, FVEY