Second Navy range fouler release

BE8RE'FNREL 'Fe 1:11;1>'. P"o'CV Tracking Number (Internal Use Only) IL...________-'
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 recognize that this form is classified 8EORETh'REL, and treat your inputs as you would any
other classified government information. You should receive a response within 7 business days.
Name Rank SIPR Emaif Address Crew Position
lother I (b) (6) IOther J
UAPTF sanitizes all reports of identifying Information. YoU! personal informelloll will remain completely private, and is
t f:qlU;StEld (Of potelltial fUture dNJriM7ng purposes only. Aft/ntel and Ops add,essee.s have signed confiden'tiality' statements to
erO(Bct y ouri~1entW(} s il!l~i tire ill fo!ma£ion in these reports.
(b) (1) IDay I aJTime of detection L...-D::-a-y~/C7N:;-i9C7,)7"t-' Side No.
(b) (1) (b)(1) •
&lnO Mission Description (CAS, BFM, etc)
(hh:mm:ss Z)
(b) (1) •
Geographic /ceQ/ion
(E.: W-72 1A)
(b)(1) • EJ ~ [lUg IItmIIl 1-.1~"....,.,."...=---"'--'COntact LDtitude NIS Contect Longitude E/W Platlon" AlUtuda Object Altffude Wind Dir / Wind Speed
(DD;MM:SS) (DD:MM;SS) (Ex. 22000) (at Con/act All)
PJ~8...t to determine a Lall Long for the c.ontact Dt initial det~ction. We rflcommend
usm· 0 reference tile sensbr-clenved bearmg Elnd range relatIve to tile bullseye YOllliad
ill use. If U1Dt mefhod IS not (JvailnbJe, any reDsorJable r/eriWJtion of JocDtioIJ will work, but
please fJe os specific as possible ond make a /Jote in tile comments section. These foc[J liollS'
may be /lsed to cue other means of (nlGking.
(b) (1 )
# of Contacts in
"Group":
Was the contact moving?
Direction/Speed I(Ex. 090115) L..___~
Please check all that apply:
WmgsJAnfmme:
Oil1e( Simpe:
Ap/lflI"Of11 PrOI"ltiS'01l
Moving Pans.'
Meta/ile:
Markings:
TrfJnSlucent:
Opaquo"
Reflective:
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.
Don't use tile purple "submit" burton! Save this form with filename "Date Locat/on_Squadron_RF.pdf" and
ndthe~t(b) (1 )
(b) (1 )
a .wmv (FlrMnnlp.·
10Gated at
80th in the global), For troubleshooting, call (b) (1)
tapes are ripped for the entire time of interaction and saved as
intel personnel shall upload those files to the repository
·sCeFtETNREL TB 1:19A. F'rE\,