Second Navy range fouler release

3!el\!ThPtI!L TO t:l3A, ro! , Tracking Number (Internal Use Only) LI________...I
Please do not use the purple
"submi!" 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 ha .... e the requested information, please leave
the freld 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 classifiedoSE8Jii1;Eli¥JitEL, and treat your inputs as you would any
other classified go.... ernment information. You should receive a response within 7 business days.
Lasl Name, First Name Rallk SIPR Email AdrJress GrewPosWon
(b) (6) _ lother I (b) (6)
UAI'TF sanitizes all reports of Identifying Information. Your peofsonal ir!formal;on will remain completely private, and is
,,?quested for pOleul/,ll future detJrieofill9 p(jrposes only, All Intel alld Ops addfPSSeeS hal'P Signed conridentiillity statements to
prutect yow id~nlities Jnd tile luro/malion in fhese reports.
tIDNl1 IDay
Dale (mmlddlyy) Timo of dotedion C"'D~,yC;"N;;'i,""7,...J
(b) (1) I (b) (1 )
Mission Dt:JscripIion (CAS, BFM, elc! _
(hh:mm:s5 Z)
(b) (1) •
GliJO!}Taphic locotion
(b.· W-721AJ
(b) (1) •
Contact L9/iri.JdG
(DD.MMSS)
(b)(1) I
Contact Longi/ude
(DD:MMSS)
o (!DIm 1[11101 IIEIW Platform AlliliJde ObJed Altitude
(Ex.· 22(00)
Wind DirPMnd Speed
(8/ Con1acf All)
PI~a~t ro delermine (J Lar I Long for I/le contact at inilia/ de/action. WEI fet,;Qfflmend
vsinglltMlllo refer9IlCB the sensor-denil6d bearing alld fllllfJfI fIIla/Ne to the bullsBy& you hiJd
in use. If IMt mellllXi is no! /Jv/Jil~b1f), ony [fJOS()fJOb/e dedvfltlDn of localiori Will WOIk, bu/
plea~ /)9 os specific as possibla and maJre e nolein Ih8 comments serno/l. Th8sa Iocatio!!!s
may be used /0 Clle OIhW means rJllmc/(ing.
WJIS tile contact moving?
Direction/Speed I(Ex. 09(1115) L.___.J
(b) (1 )
# of Contacts in
"Group":
Please check all that apply:
Wings/Airframe
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 abo .... e.
~~~~
purpl'e "submIt" button! Save this form with filename "Date LocBtlon_Squadron_RF.pdf" and
Thank Y/cD~U,:~~;~u
a .WTTW (I
located at
(b)(1) , t
in the global). For troubleshooting,
iPh.y,"[)e. are ripped for the entire time of interaction and sa.... ed as
intel personnel shaU upload those files to the repository
3I!e~!T;;~I!L Te tI!iA, r. I! ,