Second Navy range fouler release

SEBRETdREL T9 1::18;'. F'rEY Tracking Number (Internal Use Only) IL...._______...J
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 8EOREH'REL, and treat your inputs as you would any
other classified government information. You should receive a response within 7 business days.
(b) (6)
Last Nam9 Firs;,;t N"'8:;;m,;,:e_ __-, Rank StPR Email Addrsss Crew Position
IOther I (b) (6) lother
UAPTF sanitizes all reports of Identifying information. Yow personal information will remain completely private, and is
requested for potentia' futu re det)riefillg purposes only, All Intel and Ops addressees have Signed confidentiality statements to
pI otect your identities ami til e in ff)twatiot} in these reports.
(b) (1) I IDay 1II1IIDate (mmlddlyy) lime of delection Day / Nigllt Side No.
(hh:mm:ss Z)
(b) (1) I (b) (1) • (b) (1) _
Buno Mission Dosctiption (CAS, BFM••tc) _
(b) (1) • Lb)(1) • (b)(1) •EI o [11U1 IGeogropJlic Iocotion
(Ex: W-72 tA)
Contact Lstitllde N/S Cootact (oogilOOe EIW Plettorm Altitllde
(OO:MM:SS) (OD:MM:SS) (Ex: 22000)
PleaS_fPr to determine 1I Lat / Long for tlle contuct Dt 'mliM detectiofl. We recommend
using • to reference t/IB sensor-dellve'l beBring and mage relative to the bullseye you bad
in lise. If tllat met/wd is not ElvDiJable, nny reasonable derivation of location will work, but
please be os specflic as possible and make a note III the commellts secilofl. T/lese locations
may be used to we other means of tracking.
(b) (1)
# of Contacts in
"Group":
(b) (1 )
Wind Oir / Wind Sp88d
(at Contact All)
Was the contact moving? I
Direction/Speed I:====~
(Ex. 090/15) .
Please check al/ that apply:
Movlng
Wings/Airframe:
Other Slwpe:
(b) (1) • ApfJorefl/ Prol"lIs.loll:
(b) (1 )
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 the purple "submit" burtonl Save this form with filename "Date_LocaIJon_Squadron_RF.pdf" and
(b) (1 ) , ndthe~ t
(b) (1 )
Thank you for
a .wmv (Example:
located at this
Both in the global). For troubleshooting. call (b) (1)
~plalY tapes are ripped for the entire time of interaction and saved as
uadron intel personnel shaH upload those files to the repository