Second Navy range fouler release

3!eft!,."ft!L Te tJ~, P'Y'!'j' Tracking Number (Internal Use Only) 1'-_______--'
Range Fouler Reporting Form
Please do not use the purple
"submit" button Ilbo~ll, Save and
email the complete file manually
(see below)_
Please complete this form 10 the best of your ability. If you do nol 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'SECRETHREL, and treat your inputs as you would any
other classified govemment information, You should receive a response within 7 bUsiness days,
Last Namt3. FiTSt Name Rank SIPR Email Address Crew Posirion
(b) (6) _ 10-3
UAPTF sanltlzBsl1i reports of Identifying Information. Your pelsorl,jJ informMion will remaIn tompl@!eJyprlvate, arid is
u,q!lested for potential future debriefillg purposes only. Alllrltel ~nd Ops addressees have signed confidentiality statements to
pretect yOUl Identities and tile informatiof! In tllese reports.
(b) (1) I j(b)(1) I IDay I_I
Date (mmld<:t'WJ Time of de1ection Doy ! Night Side No L-""'cm=,:----'
(hhmm:s5 Z)
(b) (1) _
Mission 08scriplion (CAS, BFM, elc) ...
L,;,==::::-JII'--,::==~I Os. c.,1===-,1 D [W.II [IUUJ 11",,27c.;,:O',;:;40,=:==-,Goograp/Jic localion Contlld 1 oliluds ,.., f:onlnCI LOI1f1llude EM' Platform Alliluoo Object Altitude Wlild [)ir; Wind Speed
(E~. W-72 1A) (DD:MM'SS) (DO.MMoSS) (F~.· 72000)
PIe8~IIO delermine e Lei! Looa for tile conteClel in~ilIl deleelion. We recommend
usitlg\ljllUlo raf9r9nce 1M sen~-$#jyed beering 800 range relative to the bullseye you Illld
in uso_ If thai fTIfIllIod is not available, My reasonable oorivalion 01 kJcIJtion will work, but
p/00Sf! bs as sp&eiflC as pOssible and maktt eoote in lhe comments sec/iOl1. These Iocalions
may b9 uStKJ Irl cue oilier II/68IJS of/rocking
(b) (1)
# of Contacts in
~Group";
(et CDlllacl All)
Was the contact moving? a-l
D' tion/SpHr/ I(E"::090115) 09010, 1
Please check all that aPl'/Y:
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 eny detail not included in questions above.
:::-:-:c==
with filename "Dare Locatlon_Squadron_RF.pdf" and
the at
in the globaf), For troubleshooting, call (b) (1)
Thank you for your time. Please ensure all display tapes are ripped for Ihe entire time of interaction and saved as
a .wmv (Example: intel personnel shall upload those files to the repository
located at this link.
BEeRE"'FHREL"'Fe !:leA, FYE¥