Second Navy range fouler release

Sl!CftETiikEL (0 dSA, P 02 i Tracking Number ((nternal Use Only) ..1________--'
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 ~Eef'!E'fIl'f'!EL. and treat your inputs as you would any
other classified government information . You should receive a response within 7 business days.
Runk Squadron SIPR Email Address Crew POSitlOIlLas' Name. Fi,st N8m;;;e___--,
(b) (6) 10-5 [tUM (b) (6) 1Pilot
UAPTF sanitizes all reports of Identifying Information. Yotlr personal information will r.main completely private. and is
naqoestacf for potential futu re deb(i€' rrng pUrposes only. All Intel and Dps addres sees have signed confidentiality statements to
protect your identities and the ;n(on1lation in illese reports.
(b) (1) •
Mission Description (CAS, BFM, .tc) _
I(b) (1).(b) (1). IDay
nme of detection Day I Nigllt Buno
(hh: mm:ss Z)
(b)(1) • ~MISConlacf Latitude
(DD:MMSS) (Ex: 22000)
Wind Oir / Wind Speed
(Dt ContDct Aft)
PleDsr.t to determine a Lnt I Long for the contact ar initial detection. We recommend
using • reference tile senso r~de l j ved bearing and (ange relatIVe to the bullseye you had
in use. If tfmt metllOd ;s not availc1ble, any reasonable den"vation of loc..ltiOl1will wOlk, bot
please be as specifIC as possible Dl1d make a note il1 the comments secaon These focallOns
may be used to cue otller meaflS of tracking.
(b) (1 )
# of Contacts in
"Group":
(b) (1 )
(b)(1) •
(b) (1)
Was the contact moving 7
Direction/Speed 1180/350
(Ex. 09011 5) .
Please check al/ that <on" tor
Wings/Airframe:
Ofller Slulpe·
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) (b)(1)
• •
pUlple "" ",hrrlh" b utton! Save this form with filename "Date Locatlon_Squadron_RF.pdf' and
the t
in the global). For troubleshooting, cell (b) (1 )
tapes are ripped for the entire time of interaction and saved as
"'qlJclalfon intel personnel shall upload those files to the repository
SeeftETi1REL "Fe tJ!A, rVEV