Second Navy range fouler release

BE8RE'I'IfREI:: Ta tie". F'.'EV Tracking Number (Internal Use Only) 1'-________-'
Please do not use the purple
"submit" button above . Save and
Range Fouler Reporting Form 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 recog nize that this form is classified 8 EeREl'/i REL, and treat your inputs as you would any
other classified government information. You should receive a response within 7 bus iness days.
Last Name, First Name
-'-------. SIPR Email AddressRank
(b) (6) lother I (b) (6)-- - - - -
Crew Position
lother
UAPTF sanitizes all reports of Identifying Information . YOUi personallnformntioll will remain completely prIvate, and is
rt'-'que.t; fad lor potent!\lf futorc d b;ieflfffj pUlposes only. AIIIMel and Ops addressees have signed conndentlality statements to
protect yow Identitie s alH.:1 the ilitOtf1l3 tion 111 tlll:se reports .
(b) (1 H (b) (1)1 loay ~~~~I~CAASS.,EB~FMM~,.~IC~)~ WIllED.te Immlddlyy) Time of detection Day I Night
(hh:mm:ss Z)
[tuUJ I~ _--:--I EJ QUIll Imu] IL-l....,."....,..".,...,.",....,..".-.,.....J
~;,::~;,;j;;;;;--' Conloct Latitude NlS Contoct Longlfude EIW Platform AlbtucI/J Object AltitucI/J Wind Dir I Wmd Speed
(DD:MM:SS) (DD:MM:SS) lEx: 220(0) lat Contact Alt)
Plea s~pt 10 determine a Lst / Long for the contact at initial detection. We recommend
lIs;ng LWlllJto (etereocs the sensor.-<ierived bearing and range relative to the bullseye you had
in use. If fIIat method;s not Dvailable, any reasonable derivaUon of location will work, but
please bo as specifiC as possible and make a note in the comments section Tllese IOClltions
may be used to clIe at/lsr moans of (rocking.
(b) (1)
# of Contacts in
Was the contact moving ? I
:==~DIrect/on/Speed I(Ex. 090/1 5) L.___...I
Please check all that apply-
Apparent ProlrJUtsron.
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.
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 file s to the repository
located at th is link. (b) (1)
:!e:CP\!Tnft!LTO USAt P'O\!i