PROJECT 10073 RECORD CARD 2. LOCATION 12. CONCLUSIONS ~cLean, Virginia 0 Was Balloon Probably BaHoon DAT!TIMI! o.-oUP TV PE 01' OIS!RVATIOM Poul bl y Balloon 1D Grounct-Vlauol GMT 19L0120Z 0 AI,..VI..,of 7. LINOTH Oil OIIIRVATION NUMB!,_ OJr OBJECTS not reported one, splitting 10. llltlfl SUMWAIIY 01' liGHTING Object observed fiO~ TX to split into two objects. Appeareef s a. 'ilight and solid betb. Observed at dusk.~No moon. Still light out. Object split and flew apart. Half rising and the other half falling. Stationary at time of separation. AnC POM 321 (RKV U 81lP 52) 0 Groun~ R a~ or Cl Was Aircraft 0 Probably Aircraft C Alrlntorcopt Ro~or D Poul bly Aircraft 0 Wos Aatronoml cal 0 Probably Aatronamlcol 0 Pouibly Aatronomica1 stationary lnaufflclont Data for Evaluation 11. CO.MM !NTS Description of sighting indicates that th object was a possible balloon with research package. Object observed at separation. The balloon portion rising with release of the payload and the package falling. Report received et late date. No attempt to verify balloon activity. Case evaluated as a possible balloon sighting. U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you hove observed. Please try to answer as many quest ions as you possibly can. Th" information thor you gi'ie~ wil l be used for research purposes. Yo.Jr name wi II not be used in c:onnectiQft with any statement, concluslona, Ot publications without your permission. We request this personal Information ao that if It Is deemec:l necessary, we moy contact you for further details. . . J.~ . When did you SH the object? 2. Time of doy: (Circ:la One): 3. Time Zone: (Cirde One): ( a. Eastern) ~b. -ce;itrar c. Mountain d. Pacific (Circle One): 4. Where were you when you saw the obfect? 5~ How long was object In sight? (Total Duration) City or Town Stote or Countv How a Mlnwt .. Not ,.ry sure d. Just a guess a. Certain b. Fairly certain How wos time In sight determined? ---------------- Was abiect in sight continuously? 6. What was the condition of the tlcy? 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at thtt obj.ect? ( Circ:le One }: a. fn front of you e. To your rig,t d. To your left a. O,~rh.,od fTD OCT 62 164 Thle fo.tn eupe,.ed .. PTD 16 ... Jul u. "'hleh h obeoleh. 8. IF you saw the obiect at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): d. Don't rememlr 8.2 MOON (Circle One): a. Bri~t litht b. Dull moonlight c. No moonlight - pitch dark cl. Don't remember 9. What we,. the weath.,. ccnditlona at the tl.,_ you saw the ablect? .CLOUDS (Circle One): a. Clear alcy d. Thiele or Fi.Gvy clouds WEATHER (Circle One): Fog, mist, or liGht roin Moderate or heavy rain Don t remember 10. The obiect opparecl: (Circle One): b. Tronaporent i. "Don't ; emamber 11. If It appear.d oa a light, woe It lwight., than the brightest atan? a. Brlghtw c. About'the same b:-Drtitmei d. Don't know 11.1 C01119D' brlghtn to som1 c~"""on obJect: (Circle One): (Circle o-r. o Fuzzy or blwrecl b. Like o bright star Sharply outllnecl Don't ,.member 13. Dfcl the object: (Circle OM for each question) oont Jcnow A~or to stoncl atill at OftW' time? b. Suddenly speed up and rush away atony time? 'Iii- Don't lcnow Break up into ports cw explode? Don't know d. Give off smoke? Don't know Change brid1tneas? Don't know e. Change shop? Don't know fluh :w flicker? h. Di sappeor and rsappCif? vcnt know Old the object disapFMtOI while you were watching it? If ! o., how? 15 . Did the object move behind something at any time, p ortlculorly a cloud? (Circle One): . ~ No Don't Know. IF you answered YES, then tell whot it moved b.hlnd: e~.:;-, 1-..1 16 . Did the object move In front of .omething at any time, particularly a cloud? (Circ:/e One): Don't Know. IF you answered YES, then teiJ whut in front of: 17 . Tell in a few words the following things about the obj~ct; 18. We wish to know the angular size. Hold a match stick at arm's length in line w ith a ~tlown objct and not how much of the ooject i1 COVered by the head of the il;lOtch, If you hod performed this experiment at the time of th11 sighting, how mvch of th object would have been covered by the motc:h head? 19. Draw o picture that will show the shape of the ob;ect at objects. Label and Include In your ske} any details of the object that you saw .. uch a1 wings, protrusions, .,tc., and especially exhaust trails or vapor trails. Place on arrow beside the drawing to show the direction the obiect was moving. '::: If E 20. Do you think you can estimate the speed of the object? (C irc:le One) IF you answered YES, then what speed would you estimate?------- 21. Do you think you can estimate how for awoy From you the object was? (Cirde One) Y~ . .J IF you answered YES, then how far away would you say It waa? -------- 22. Where were you located when you saw the object? (Circle One): a, Inside a building b. In o cor c. OutCfaots d. In an airplane (type) 23. Were you (Circle One) a. In the buainess section of o ci~? c. In open countryside? d. Near an airfield? e. Flying over o city? f. Flying over open ~oUntry? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the foHowing questions: 24.1 What direction were you moving? (Circle One) c. East e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast we,. you mov~g? milea P"' h<M.~r. 24.3 Did you stop ot ony time while you were looking ot the object? (Circle One) 25. Oicl y041 observe the oliect. through any of the following? Eyeglasses Binoculars b. Sun glasses f. Telescope Windshield Theodolite d. Window glass In order that you can give as clecw o pict\Jre as possible of what you sow, describe in yovr own words o eemtnon { object or obiects which, when placed up in the sky, w.ould give the some appearance as the object which you 'c~.,J In the following alcetch, imagine that you are at the point ahown. Place an "A" on the curved line to show how hlgh the oi>tect waa a!Mwe the horizon (slcyline) when you lint aaw lt. Ptaca a "B .. on the aom. curved line to show how high the ol>ject was above the hOtlzon (akyline) when you lost saw it. Place an "A' on the compos when you II rat aaw l~!. Place a "B" on the compass where you last sow the object. 28. .Draw a picture that will show the motion that the. obJect or obiecta made. Place an "Au at the bag iMina of the path, a "8" at the end of the path, and show any changes in direction during the court e. IF t ere was MORE THAN ONE-obiect, then how many were tft.re? :- .. '- /' "' ...... "' r-,...: -. .,, Draw a picture of how they were orrangecl, and put an arrow to show the direction that they were trovelil'g. 30. Have you ever seen this, or a simi lor object before. If so give <late or dates and location. 31. Was anyaM else with you at the time vou sow the object? (Circle One) 31.1 IF you answered YES, did.they see the object too? (Circle One) 31.2 Please list th.ir names and addresses: 32. Please give the following information about yourself: F ir11t Nome Middle HolM Indicate ony oddftionol lnformotlon obout vouraelf, including anv apeclal e)Cperlence, which might be penin.nt 33. When and to whom did you report that you hod seen the object? 34. ~t you completed this queationnaire: lnfcwmation which you fl pertinent and which is not adequately covered in the apecific points of the questionnaire 011 o narrative explanation of your sighting.