Second Navy range fouler release

3EeREiiVREL T6 1:!9A, F~'EY Tracking Number (Internal Use Only) 11-________-'
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 was more than one "group," please report each on a separate form for data collection
purposes. Please recognize that this form is classified SEGRETh'REL, and treat your inputs as you would any
other classified government information. You should receive a response within 7 business days.
Last Name, First Name Raok Sqlladron SIPR Email Addrass Crew Position
(b) (6) _ lother I (b) (1) •-- --- (b) (6) lother
UAPTF sanitizes all reports of Identifying Information. YOllr personal informAtion will remain completely private, and is
requeste" for potent;;,1 filtH'" (/eIJriefing purposes only, All Intel and Ops addressees have signed confidentiality statements to
protect yow ici811tities ~1nd till? information in these reports,
(b)(1). (b) (1) •
Mission Descriplion (CAS, BFM, elcl aJ
[mmll · INight
Dale (mmlddlyyl Time of detection '--":::oo-y-/:-:N':'lg-'/,7t --'
(hh:mm:ss Z)
Side No. Buno
(b) (1) • (b) (1) • [[] ~I ItgullContact Latitude N/S Contact Longnud8 EM' Platform Altitude Objecl Altitude '--IM~III::;d-;O:7.lr-'/;:;IM:;::in:':d:-;S~p7e8::d~"Gaogrophic location
(Ex: W-72 1A) (OOMM:SS) (DO:MM:SSI lEx.' 22000) la/ Contact Aft)
Please attempt to determliJe J Lat I Long for t/)e contact at initial detection We recommend
using[IDllIJo reference lIle sensor-cJerived bearing and range relative to tile bullt.eye you llad
in use. ff tlmt method IS not [lvnilat){O, any reasonable derivation of location will wOlk, but
pletlse be <JS specific as possible and make a note 111 tile comments section. mese locatiom;
may be used to cue other means of tracking.
(b) (1)
(b) (1)
# of Contacts in
"Group":
Was the contact moving? [IIQ
Direction/Speed 1120(Ex. 090/15) .....___...J
Please check al/ that apply:
Apparent Pr(,put"io/l:
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.
aircraft info:
Don't use the purple "submit" button! Save this form with filename "Date Loc;atlon_Squadron_RF,pdf" and
(b)(1) , nd the at
(b)( 1 )
Thank you for
a .wmv
located at
Both in the global). For troubleshooting, c;all (b) (1 )
tapes are ripped for the entire time of interaction and saved as
Squal:tron intel personnel shall upload those files to the repository
t8E8RETXREL T8 \;81" FVEY