P~OJECT 10073 RECORD ; DATE TIME GROUP 2. LOCATION , 4. NUMBER OF OBJECTS LENGTH Ofl OBSERVATION 8 Mftiutea 6. TYPE OF OBSERVATION Ground-V 1a\lal 'BX' 9, PHYSICAL EVIDENCE ADo.heim, Cal1torn1a (4 Witnosaea) 10, CONCLUSION Poaaible (AlfcCRAI'l' w/~RTISING SIGN) Deacr1pt1oD la oanaiatent witb tbat ottea reported tor aD aircraft 11. IRIEfl SUMMARY AND ANALYSIS ObJect had the brightneaa ot an or41aory atar, and appeared to changed color trcm, red, green, ~"lite, blue. rotat1Dg lightaarouDd the aidea. ObJeot moved FTO SEP 63 0-329 (TOE) Preloue adlUOfte of thle fora J be u .. d. TM ' c~llr"~ /W. lf.AJ A U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information aa possible concerning the unidentified aerial phenomenon that you have observed Please try to answer as many questions as you possibly can. The information that you give wi II be used for research purposes. Your name wi II not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if It is deen:ed necessary, we may contact you for further details. 1. When did you see the obiect? l~t:A".-t"=-' 3. Time Zone: (Circle One): a. tastern b. Central c. Mountain ( ~. Pacific' 4. Where were youwhen you saw the obiect? 2. Time of day: HI')Uf Minutes (Circle One): (Circle One): ( a .. t!ight Savin~ b. Stanoard - - City or Town State or County S. how long was obiect in sight? (Total Duration) Hours Minutes a. Ce~tat';...:..n;... . c. Not very sure ~ Fairly cer_!~inl d. Just a guess 5. 1 How was time in sight determined? ..,l,C_ .. ~i:.....a.C_.LI3c~;~J::~--------- 5.2 Was object in sight continuously? Yes X' No 6. What was the condition of the sky? (a.-=-eright J b. \:laudy 7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked at the obiect? (Circle One): a. In front of you In back of you c. To your ri~t d. To your left e. Overhead f. Don't remember d. IF you sow the obiect at NIGHT, what did you notice concerning the ~ T Af.<S ond MOON? 8.1 STAR~ (Circle One): 8.2 MOON (Circle One): o. Bright moonlight b. Dull moonlight c. MQ'1Y c . No_ moon I ight -pitch dorl< (d.-Don't rem.ember (4,. Dont; e~ 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): NEA THE R (Circle One}: b. F<i'g, mist, or I ight ro in a. Clear sky c. ,-.~oderate or heavy rain d. Thick or f\i"ci"Vy clouds e. Don't remember 10. The object appeared: (Circle One): t.:-- r ransparent d. Asalight e. Don't remember c. Vapor 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): a. Brighter c:>---About.tbe sgm'w d. Don't know Compare brightness to some common object: 12. The edges of the object were: (Circle One): a. Fuzzy or blu:red b. L~ke a briyht stor ( c.L-Sh a-r;ly ~ yt I i ne& C:f:"" Don't remember 13. Did the object: a. Appear to stand sti II at any time? b. Suddenly speed up and rush away ot any time? c. Break up into ports or explode? d. Give off smolce? e. Change bridltness? f. Change shape? g. Flash or fl iclcer? h. Disappear and reappear? (Circle One for each question) Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know 1. Did the obiect disaDoear while you were watch ii"Q it? If so, how? 15. Old the abic:t ntOYe ~ind aam~t,.,ing at any tinoe, pGrtieulnrly a c:loud? (Circle One): Don't Know. IF you answered YES, then tell what 16. Did the obiect move in frnnt of ou"thinA at any timtt, pcuticu tarly a c laud? (Circle Orte): Don't Know. IF you answ'tred YES, then tell what 17. Tell in a fAw words the followinq things about the object: a. Sound _ n 'l(J E< 18. We wish to know the an~ular size. Hold a match stick at arm's length in line with a known obiect and note how I much of the obiect is covered by tha httnd of the match. If you had oerform'td this experiment at the time of the how much of the ob!ect would have been covered by the match head? /) n t -t k n 19. Draw a picture that will show the shape of the object or obiects. Label and include in your sketch any details of the obiect that you saw such aa wings, protrusions, etc., and pecially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the obiect was moving. Ro r~ 1, n.y 20. Do you think you can estimate the spHd of the obiect? (Circle One) IF you answered YES, then what speed would you estimate? ------ 21. Do you thiftlt you can e1timate how far away from you the obiect wa1? (C lrcle One) YES, then how far away would you 1ay it was? Gl bt.'l tr'1 ~,. J'lli I~ 'i. .22. Where were you located when you 1aw the obiect? (C ire le One): (,a . .lnsi~-a "buildini~ b. In a car c. Outdocws In an airplane (type) 23. Were you (Circle One} In the business section of a city? (, In the residential section of a ci.tyJ) In open countryside? Near an airfield? Flying over a city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the tine, then complete the following questions: 24.1 What direction were you moving? (Circle One) c. East e. South b. Northeast d. Sauthea1t f. Southwest h. Northwest 24.2 How fast were you moving? ----------miles per hour. 24.3 Did you stop at any time while you were looking at the object? (Circle One) 25. Did you observe the object through any of the following? Eyeglasses Binoculars b. Sun glasses Telescope Yes { No Windshield Theodolite Window glass 26. In order that you can 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 same appearance as the object which you saw. w" ' rnctll ho I 27. In the following a Ieetch, imagine that you ore at the point shown. Place or "A" on the curved I ine to show how the obiect was above the horizon (slcyline) when you lirst saw it. Place a ''B" on the same curved line to show how high the obiect was above the horizon (alcyline) when you lost saw it. Place an .. A" on the compass when you lirst saw it. Place a "B" on the compass where you last saw the object l.lraw a picture that will show the motion that the obiect or objects made. Place on .. A" at the beginning of the path, o "B" at the end of the path, and show any changes in direction during the; course 29. IF there was MORE THAN ONE object, then how many were there?------------ Draw o picture of how they were arranged, onJ put on arrow to show the direction that they were traveling 30. Hove you ever aeen this, or a simi lor obiect before. If so give date or dates and location 31. Was anyone elae with you at the time you saw the obiect? (Circle One) 31.1 IF you anawered YES, did they see the obiect too? (Circle One) 31.2 Pleaae liat their names and addresses: 32. Please give the following information about yourself: TELEPHONE NUMBE Middle Nome Indicate any additional information about yourself, including any special experience, which might be pertinent. 33. When and to whom dicl you report that you had seen the obiect? Date you completed thl1 questionnaire: ( ( {,.~ .. . 35. lnfcwnwation which you fl pertinent and which it not adequately covered en the apecUic points of the queationnaire or a ive planation of your 1 ighting 'llllrr/UPO Obaerva t.ion Reference your unidentitied observaticn. " The intottJ& tion which .. , ... wn have received 1a net aurticient tor a ecientitic evaluation. Request you complete the attached F'l'D Form 164. and rotum it in the onvelope provided. Thank you tor reporting your ohso.rvn tion to the Air Force. c . ~MANA'rr I Colonel, USAF . .. ctor j'ot Technolog. And 'Sub1J18 PTD Form ll4 w/ envelope