Second Navy range fouler release

eEeRETHREL Ta I:IS.... FVEY Tracking Number (Internal Use Only) LI________--'
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 w as more than one "group," please report each on a separate form for data collection
purposes . Please recognize that this form is classified'@E6f':Evh'f':EL, and treat your inputs as you would any
other classified government information. You should receive a response within 7 business days.
Lost Name Firs;:.,:.:;Na::.m:;:e:....-__-. Rank. SIPR Email Address Crew Position
(b) (6) I Other I (b) (6) IOther
UAPTF sanitizes all reports of Identifying Information. Your personal information will remain completely private, alld is
t"equestod fOf potential futu re debti€>fing purposes only. All Intel and Ops :ufdressees have signed confidentiality statements fO
protect yow identities iJnrlltl~ illfOlTnalion in these reports.
(b) (1) I (b) (1) I I...-IDa..:...y_--,1111] [lUQ]
Dal. (mmlddlyy) Time of detection Day I Night Side No, Buno
(hh:mm:ss Z)
(b)(1) •..ttD~I..U..I~----II[(UQ' I~Geographic IOCBlion CeIIlacl Lalilud. NIS ConlBel Longllude
(Ex: W·72 f A) (DD:MM:SS) (DD:MM.SS)
E]'CUUlEIW Ptalform Alliludo
(Ex: 22000)
PJeas~pt to determine 8 Lat / Long for tI1e contact at initial detection. We recommend
using YIIIIo reference IIle sensor-denved bearing and range relative to rile bullseye you IJad
in lise. If tllat method is not available, any reasonuble dertvatioll of locotion will work, but
plesse be as specifiC as possible find make a nole III tile comments section. These locations
may be used to cuo other means of tracking.
(b) (1 )
# of Contacts in
"Group":
Wind Dir I Wind Spood
(al Conl.cl All)
Was the contact moving?
OirectloniSpood I(Ex. 090115) L.___...I
Please check all that JON"" ·
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.
o h • •I • b ·"b I S
conduct ing~
located over the
in an attempt to intercept
th · " with filename "Date Locatlon_Squadron_RF.pdf' and
. ,, ; , ... (b) ( 1 ) ; nd the t
(b) (1) Both in the global). For troubleshooting, call (b) (1 )
Thank you for your time. Ple.~se ensure displalY tapes are ripped for the entire time of interaction and saved as
a .wmv (Example: in tel personnel shall upload those files to the repository
located at this link.
tSE8R£TNRELsr, We lt, FYE),