PROJECT 10073 RECORD rl .,. D~TE .-TI.~E G~OUP ,. LOCATION . i. NU'HBE R OF .CoJECTS 5. LENGTH OF OaSERVATION 8. PtiOTOS 9. PHYSICAL Ev:oENCE 10. CONCLUSION 11. BRIEF SUMMARY AND ANALYSIS FTD SEP 63 0-:29 (TOE) Prelou dlU~ of t!tle fona .. 7 b. u .. d 20. Do you think you can estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you esti mote? fC-...:J..Ic; _.!. ~/=-(:_-/.;~(~---{{-~--- -_: "Lf-"lj-~'7-_; ,_ 21. Do you think you con estimate how for away from you the object was? (C ircle One) IF you answ~:-ed YES, then how for away would you say it was? _ _:.....;_Y_---/.S..~ : ):J> 22. Where were you located when you saw the object? (Circle One }; . o. Inside c Sui lding b. In a car c. Outdoor~ d. In an o lr;:-lane (type) 23. Were you (Circle One) a. In the business section of o city? b. (!~-~h~ - s_i entTaf ict .~f o_ city? c. In open countryside? d. Near an airfield? e. Flying over a city? f. Flying over open country? 24. IF you were .'t\OVING IN AN AUTOMC3 l LE or other vehicle at the time, then complete the following questions: 24.1 What d ,rection were you movins? (Circle One) a . North c. Eost e. South g. West b. NorTheast d. Southeast f. Southwest h. Northwest 24.2 How r~st were you moving? ---------------~miles per hour. 24.3 Did Y='U s t:>p ot any time whi le you were looking at the obiect? (Cfr:l~ One) Yes Did you ob s~rve the object through ony of the following? Binoculars a. Eyeglcss~s Yes --No Sun glc s s e s f. Telescope Wind s!-l. ~ id Theodolite 26. In order that ) ' OU c on give as clear a picture as possible of what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the some appearance as the object which you sow. In the following sketch, imagine that you ore at the point shown. Place an "A" on the curved I ine to show how the obiect was above the horizon {skyline) when you lirst saw it. Place a "B" on the sarne curved line to show how high the object was above the horizon {skyline) when you lost saw it. Place on "A on the compass when you f i rs t saw it. Place a '.'B" on the compass where you lost saw the object. 28. Draw o pic'"r~ that will show the motion that the object or objects mode. Place an "A" at the beginning of the path, a " S u :t the end of the path, a 0d sJ.u-... .:.ny changes in direction during the course. 29. IF there wa s MO~= THAN ONE oo;ect , then how many were there?---- ---------- Draw a pict.Jie dhow they w : re a rrcnged, and put on arrow to show the direction that they were traveling. 30. Have you ever seen this, or a similar object before. If so give date or dates and location. 31. Was onyon~ else with you at the time you sa.w the object? (Circle One} 31.1 IF Y"u answered YES, did they see the object too? (Circle One) 31.2 Pl~ose list their names ond addresses: 32. Please g iv!! the following informat ion about yourself: First Name ADDRESS . TE L E PHOt .. E NUMBER :c Indicate or.y ad d itional informotio:-: about yourself, including any special experience , which might be pertinent. When and to wh ::>:n did you report that you hod seen the object? Day Month Year D~te you complet&d this qu&stionnaire: 34. 35. Information whi ch you feel pertinent and which is not adequately covered in the specific points of the questionnaire or o narrative explanation of your sighting. FTD ( TD.m'R) y'lJ \.Jright-Patterson AFB, Ohio 45433 o September ~9oo Pennsy~vania 19002 Reference your unidentified observation of 5 September 1966. The infounation -;rhich ve have received is not sufficient for evaluation. Request you complete the attached F..rl> Form 164 and return it in the envelope pz'Ovided. \ie visll to Air .Force thank you for reporting ;}Our observation to the Sincerely, OR QUI?fr.A.'1IIJA Jr, MaJor, USAF Chief', Project Blue Book U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much inforrroti on as possible concerning the unidentified aerial phenomenon that you have observed. Please t ry to answer as many questions ~s you possibly can. The information that you give will be used for research purposes. Your name will not be used in connection with any statements, concl~..sions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details. tl b' t? 2. r.me of day: Jt (J(\(} en ' y ou see 1e o 1ec . ~ 3. Time Zone : Month Yeor (Circle One): b. Cen.tro i c. Moui1t~in d. Poe if ic 4. Where wer~ y ou when you saw the ocje:t? (Circle One): (Circle One): Ot-Doylight Saving ~ b. Standard City or Town State or Ceunty 5. How long w::s object in sight? (T:.tol Duration) Hours Minutes Seconds o. Certain c. Not very sure b. Fairly certain d. Just a guess 5.2 Was obi~= i r s :ght continu ously? 6. What was the condit ion of the sky? 7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the obiect? (Circle One): a. In front of you b. In back of you c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thl form uperede s F TO 164, jul 61, which i11 obolet 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One}: 8.2 MOON (Circle One): Bright moon I ight Dull moonlight No moonlight -pitch dark D~n 't remember Don't remember 9. What were rr.e weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circle One): a. Clear sky b. Fog, mist, or light rain c. Scattere:! clouds c. .~oderate or heavy ro in d. Thick or !-Ieavy clouds e. Don't remember 10. The object appeared: (Circle One): d. As o light e. D j n 't remember 11. If it opoe::~d os o fight, was it bri~,;~r than the brightest stars? (Circle One): o. 3:-ighter c. About the same d. Don't know 11.1 Compo.-e brightness to some c o -nmon object: 12. The edges ~f tr.e oSject were: (C ire /e On'! l: o . Fuzzy or blu r:ed Like a bri:iht s 1or Sharply outlin e j on t rememoer Did the object: (Circle One for each question) Appear to stond still at any time? Yes Don't know Suddenly sp~ed up and rush away at any time? Yes Don't know Break u p into ports or explode? Don't know Give off smo~e? Yes No Don't know Change brig'-ltness? Don't know f. Change shope? Don't know Flash or flicker? Don't know h. Disappear and reappear? Don't know 14. Did the object disappear while you were watching it? If so, how? 15. Did the obi~ct move behil"d something at any time, particularly a cloud? ( C i r e le One): Ye~ No Don't Know. IF you answered YES, then tell what it moved behind: 16. Did the object move in front of somethi ng at any time, particularly a cloud? (Circle One): Yes No Don't Know. IF you answered YES, then tell what in fr or. of: 17. Tel! in a f~w words the following things about the object: 18. We wi s h to ~now the angu lor s ize. H~ld o match stick at arm's length in I ine with a known object and note how much of th e object is covered by the head of the match. If you had performed this experiment at the time of the sighting, ho"" much of the object would have been covered by the match head? 19. Draw o pi=:J~e t+-~r will show the shape of the objec.t or obiects. Label and include in your sketch any details of the obj!!~ r~=t y ou sow such o s wings, protrusions, etc., and especially exhaust trails or vapor trails . Place on ~:-::...., ::~side t he drawing to show the direction the obiect was moving. 27. In the following sketch, imagine that you are at the point shown. Place an ., A" on the curved I ine to show how the object was above the horizon (sky I ine) when you lirst sow it. Place a "B" on the same curved I ine to show how high the object was above the horizon (skyline) when you lost sow it. Place an ... A" on the compass when you first sow it. Place a "B" on the compass where you last saw the object Oro,.., ~ pi .:-~ .. e that wi II show the r;.ct :o:"l that the object or objects mode. Place on "A" at the beginning of the path, o "5' at the end of the pat h, = -: s~'v"" uny changes in direct ion during the course. 29. IF ther~ v..as YaO~E THAN ONE oSject, then how many were there?-------------- Draw a p i.:tve or ;ow they were crr=:-;;ed, an.:f put on arrow to show the direction that they were traveling DEPAR'fMENT OF THE AIR FORCE HEADOUARTE:RS 28!320 AIR E::ASE GROUP t AFLC I McCLELL A N AIR rORC"E !:lASE CALl F ORNI A 95652 ATTN OF SMBB suoJECT UFO Report TO AFSC (FTD) 1. l~e following observation Sec~rity and E was reported to the Operations Branch, , North Highlands, Cal lfornia: a. Description of the object observed: (1) Shape -r ound (2) Size -pin head held at arms length. (3) Color-white with a bluish tint. (4) Number -one (5) Formation -not applicable (6) Discernible features -none (7) Tail, tra; l o : exhaust-none (8) Sound -none (9) Unusual features -none b. Description of course of object: (1) Observer noticed two bright stars, one star began moving zig-za~ pattern from t he original point of sighting. (2 ) Angle of e levation and azimuth-when first sighted, object was over h~ac a: approxi~ately 0 degrees. (3~ Description of flight path-Object was at an approximate 45 angl e a : c ,sappearance, no apparent set flight path, back and forth rapidly. I (4) How object disappeared -instantaneously to the southeast. (S) Length of time in view-continuously for approximately five 30. Have you ever seen this, or a similar object before. If so give date or dates and location. 31. Was anyone ~!se with you at the time you saw the object? (Circle One) 31.1 IF )o~.o c:otswered YES, did they see the object too? (Circle One) 31.2 Ple~s~ :ist their names and addresses: 32. Please give the following information about yourse If: First Nome Middle Nome TELEPHONE NU,YBER -------- tnd icate any cdditiona I informot ion o;:,out yourse If, including any specia I experience, which might be pertinent 33. When and t o whY'' did you report that you had seen the obj cct? 3~. Date you completed this questionnaire: