-zn ,, g ,, sxzra ro PROJECT 10073 RECORD CARD 2. LOCATION J:J. Ground Vi 5ual 7. LENGTH OF OBSERVATION I. NUAABER OF OBJECTS s <.;or:u s 10. BRIEF SUMMARY OF SICHTIJooiC Squar e obj w/yellow, greenish exploded i nto piec es. AnC FORM 329 (REV 26 SEP 52) 0 Ground-Radar 11. COWolENTS 12. CONCLUSIONS 0 Insufficient Data for Evaluation 0 Unlcnawn description is characteristi~ a meteor U. S. A I R F 0 A C E T E C H H I C A L I H F'O R M A T I 0 H S H E E T Thi1 que1tlonnalro has boor:1 prepared so that you can give tho U. S. Air F orco a1 much Information a1 pouiblo concerning tho unidentified aerial phenomenon that you have observed. Pleaao try to answer as many questions as you pouibly can. Tho Information that you give will uud for' research purposes, and will bo regarded a a confidential material . Your name will not be uaod In connection with any atatomenta, conclusions, or publications without your permluion. We roquoat thla persona I Information 10 that, If It ia doomed nocoa1ary, we may contact you for further details. When did you aeo tho object? Time of day: Hour Minute a (Circle One}: 3. Time aone: (Circle One): a. ~astern_) .b. l.onlral c. Mountain (Circle One): a. Daylight Saving . r sran_d d. Pacific 4. Whore wore you when you 1aw the object? Neoreat Poatol Addru . City or Town Stote or Country Additional remark&: 5. Ea'tlmate how long you 1aw the obioct. Circle one of tho following to Indicate how certain you are of your anawor to Question S. o( Certolo. c. Not very sure b. Fairly certain d. Juat a guo as 6. What waa the condition of the 5lcy? (Circle One): a, Bright doyl ight Dull day I ight c." Bright tw II ight d. Just a otraco of daylight ~No trace of dayiiS~ht .. : '1:-0on"t remoembe; . 1. IF you aow the obiect during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you looked at the obiect? (Citcle Ono): a. In front of you d. b. In bock of you To your right Don't remember ATIC FORM NO. 164 (13 OCT 64) 8. IF you aaw the oufec~ at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circlo One): a. Bright moonlight b. Dull moonlight c. No moonlight -pitch doric d, Don't remomber d. Don't remember 9. Woa the object brighter than the background of the alcy? (Cirde One): No f( Yea.~ c, Don't remember 10. IF It was BRIGHTER THAN the alcy background, was tho brightness II Ice that of on automobile headlight?: (Circle One} o. A mile or more away (a distant car)? b. vera I blocks away? A block away? c. d Several yards away? e Other 11. Did the object: (Circle One lor each question) a. Appear to atond still at any time? . b. Suddenly spcu!'d up and rush away ot any time? c. Break up Into porta or explode? d. Give off smoke? Change brightness? ~; Change shape? g. Flicker, throb, or pulsate? 12. Old the object move behind something at anytime, partlcular.ly a cloud? (No) Don't Know Rb) Don't Know No Don't I< now ~o l Don't I< now Don't Know Don't Know ~ o ,) Don't l<now (Circle One): Yes . ~ Don't Know. IF you anawered YES, then tell what 13. Did the obi oct move In front of something at anytime, particularly a cloud? (Circle One): Yes No / Don't .J<ha_;; IF you answered YES, than tell what 14. Did tho object appear: (Circle One}: b. Transparent? c. Don't Know, Did you observe the obfect through any of the following? Binoculars Yes Eyeglasses Sun glasses Yes f. TelescoP.e Yes c. Windshield Yes Theodolite d. Window gloss Yes 16, Tell In o few words the. following things ab~t the object, 17. Draw o picture that will show tho sha pe of the objset or obleett. LobGI and Include In your sketch any detallt of the oblect that you taw auch os wings, protrualon, etc., and ospoclally t)Chaut troll. or vapor trolls. Placo an arrow beside the drawing to show the direction tho object waa moving. . 18. The edge~ of the object were: (Circle Ono): a. Fuzzy or blurred b. Like a bright star c. Shar"'l~ -.. ILnod C, --tfon' t r~membe'?) 19. IF the ra was MORE THAN ONE .object, then how many were there? ON,;:_ . Draw a picture of how they were arranged, and put on arrow to show tho d irection that they were traveling. 20. Draw a picture lhnt wlll sho.w the motion that the objec~ o,r obier.ts mode. Place an -.A ot the beginning of the path, a e at the.end of the path, and .show any, change In d irection dt.XIng the coune. 21. IF POSSIBLE, try to guess estimate what the real size of the object was In Ita longest dimension. 22. How large did the obiect ~ obiects appear aa compared with one of the following objoct he/J In the honcl and ot about orm's length? (Circle One): a. Head of a pin Half dollar Silver do liar Grapefruit Basketball (/- Other ~-S ~ 22.1 (Circle One of the following to Indicate how certain you are of your answer to Question 22 c. Not very sure certa d. Uncertain 23. How did the.gbiect or objects disappear from view? In order that you con.gln oa clear o picture a1 po .. lble of what you aow, we would like for you to Imagine that you could construct the object that you 1aw. Of what type moterlol would you make It? How I arge would It be, ond wh.ot 1hope would It have? Oe1crlhe In your own word1 o ~ommon object or oblech which when placed up In the 1lcy would give the aame appearance. 01 the obJect which yo11 aow. 25. Where were you located when you saw the object? (Circle One}: a. Inside a building nan airplane 26. Were you (Circle One) In the business section of a city? b In the residential section of a city? c. In open countryside? d Flying near on airfield? Flying over a dty? f. F I ying over open .country? Other g. Other J !J t: L! t:i 27. What were you doing at the time you saw the obj!!ct, and how did you happen to notice it? 28. IF you were MOVING 'IN AN AUTOMOBILE or other vehicle at the time, then (iomplete the following questions: 28.1 What direction ~ere you fi')Oving? (Circle One} b. Northeast d. Southeast h. Northwest How fast were you moving? \s-: miles per hour. Did you stop at any time while you were looking at the object? (Circle One) Yes What direction were you looking when you first saw the object? (Circle One) c-southwe, 30. What direction were you looking when you last saw the object? (Circle One) a. North c. East b. Northeast d. Southeast Southwed~ h. Northwest If you are familiar witli bearing terms (angular direction), try to estimate the number of degrees the object was from true North and dlso the number of degrees it was upward from the horizon (elevation) 31.1. When it first appeared: a. From true North-----degrees. b. From horizon ~:;> degrees. 31.2 When It disappeared: a. From truo North----::--degrees. b. From horizon 3 0 degrees 34. What wore the weather conditions at tho time you saw the obje"ct? CLOUDS (Circle One) c, Scattered clouds d. Thick orhoovy clouds e. Don't remember 34.3 WEATHER (Circle One) fog, mist, or light rain c. Moderate or heavy rain e. Don't remember 34.2 WINO (Circle One) .-a ... tirow ina"" STiolln;;;eze c. Strong wind d. Don't remember 34.4 TEMPERATURE (Circle One) e. Don't remember 35. When did you report to some official that you had seen the object? Day Month Year . . 36. Was anyone else with you at the time you saw the object? (Circle One) No 36.1 IF you answered YES, did they see the object too? (Circle One) Yes No 36.2 Please list their Was this the first time that you had seen an object or objects like this? (Circle One) is") No 37.1 IF you answered , then when, where, and under what circumstances did you see other ones? 38. In your opinion what do you th ink the object was and what might have caused It? 39. Do you think you can estimate the speed of the object? (Circle One) IF you answeted YES, then what speed would you estimate? 40. Do you think you can estimate how far away from you the object was? (Circle One) IF you answered YES, then how far away would you say it was? 41. Please give the following information about your~elf: Zone State TELEPHONE NUMBER Pleaseindicate any special educational training that you have had. f. Other special training-----:--------- d. Post graduate ---------- 42. Date you completed this questionnaire: