~UFFICIENT DAXA FOR EVALUATION 0.,3ervor se.w a blinking or f'luctuatins liGh~, or>n ec.r;.}d li!::a an inverted V Objact lolo.s vhi to c.nd lco!;ad l :l!-;:0 1~-:..ii-c~ 11shtG o~ an aircratt. Objoct t obc3rv~d c t cbc l O o' cloc~ in ~:/ (12 o cloc~ beitl3 ovorh~ad) e r.d .: t ob~c-v.-.d at &bout .3 o'clock. Naed ad~ +f U. O,.A'M A II'ICTUR!' T.-.AT WILL SHOW THE SHAfiiE 0' THI!: ~HENO'A!:>fOH. INCLUDl ANO LA:.J~L ANY D ETAILS THAT MIGHT HAVE APPI!:AA!'O AS WIHGS 0" PlltOT!ItUStONS, AND INDICATE E .J(HALIST OR VAPO" T,_AtLS. lm>ICI\TE BY AN A R ROW THE DIRECTION THE PHENO .. ~NON WAS MOVING. I"/. A /" L ('~;-:-- 16. WHAT w.,s T>1E .. .. ~.'.A.~ SIZE? HOLD A MA.'TC~ A T ARM'S LENGTH IN FRONT OF A KNOWN O B JECT, SUCH AS A STn E E T LA~-4D C=1 ~ .. ! ':'i "'JOTE HOW MUCrt O F T !1E OBJECT IS COVERED BV THE H!!AO OF THE MATCH. H O W I F YOU HAD BEE~ A91...E o ;..~.,~:';)'-!THIS EXP!RIJo&!Jot-AT TrtE TIME OF THE SIGHTING, ESTIMATE WHAT F RACTIO N OF THE PHEHOMENO~ .. ::; -~V~ BEEN COVE~Z.:l :v "ii"'E MATCH HEAD. PAGE 6 OF 9 PAG E S AFTI r0-J7{Cl) 17 . 010 YOU O~:.!:HVE THL PHENO~FNON rt4ROUC,H "NY OF THE rou.owJ;: 11-I,..L UI"'F-I'H'"Oi~'4.4TION ON MOOfL, TYP!:", F ti_TECc Lt.N 5 ,-,Rf..5CRIPTIO N OR OHI-. H J\PPLIC ,ULE DATA. ICAM!-nA VIE\1/~P EYEGL ~::..Sf:S I S.!::: 'f'! 7 : n't O F VEHICLE THE.OOOll'rE A . o) "l'->J ::-- . :,Rt:.. v ~EAR GLAssEs' [l Y E s 1 . N n , a . oo vou usE R~Aoi~:G (,LA,s~s, t-J YF~ f:\.r~o t d '111--:.T ~,. ' :IliA 1~1PRt..SSION OF Tt-!F. S ' lEE', 1-" THJ:: 19 WHAT VIAS YOUr< IM;.:>HC~:)ION O F iHE OIS1AtiC~ .. OF THE . PH~N: .A:;...,_"IfP GIVE E STIMATJ;..O,: :;;:> 2:> IN OP:>:.~ THAT WE MAY OHTAIN A S CL!A A PICTURr: A S POSSI9LE Of" WHAT YO.l ':.AW. OLSCR18E I'~ YOUF vWN WORDS V.O ,ILt" r~:..R SOME RF.S!::MBLANCE TO WHAT YOU SAW. D E SC RIBE SIMILARITIES AtW DlrHrU tlC .5 HtT~Ff:.t.J TnE COM~C 1 : "JJ EC:T AN 0 WHAT YOU 5AW. ~I ~ID 'rCU t.:)" I O:t. ,'o.NY ODOFl. f",Ot:~. ('~ riEA T_E,~NATINC FROM THE PHE NOME N O N O R ~""'~N'fO"tK 'IPI'r"f l"O'J AY THZ TIM% YOU SAW THE PHitHOM~HOo~' l"tCICATt AOOITIOhAL. INFOAMATIOH IHCL.UOIHG OCCUPATIO~ AND AHY EX AI~tiCr! WHICH tAAY a E F-ERTINENT. M:>NTH. ~l 1 t? C J-J PAGE 0 OF 9 P AGES U.S. AIR FORCE TECHNICAL INFORMATION T hi s questionnaire has been prepared so that you con give the U.S. Air Force as much infor-roti~n as possible concerning the unidentified aerial phenomenon that you have observed. Pleos try to answer as many questions as you possibly can. The information that you give will be u $ed ~:>r research purposes. Your name will not be used in connection with any statements, cencksions, or publications without your permission. We request this personal ir"formation so that if i t is deemed necessary, we may contact you for further detai Is. 1. When did }'~U see the object? Hllur Mi nutl't s (Circle One): Day Month Year 3 . T ifTie Zon~: (Circle One): . a. c. Mountain d. Pacific 4. Where wer~ y ou when you saw the object? (Circle One): a. Daylight Soviny Standard .... } 5. how long w=s o~ject in sight? (Totol D~.~rotton) ~. Certain b. :r!y certain City or Town ,...c. Not very sure ~d. Just a guess' , State or County 5.2 Wos ob ~=o: 1r. ~1ght continuously? 6. What was the c~:!-3.tion of the sky? a. Bright' 7. IF you sow t he object during DAYLIGHT, where wos the SUN located as you lookftd at the object? (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 Thte form upeued f 'TO 164, tul 61, which Ia ob olete. tt IF you saw th e object at NIGHT, wlwt din you notic-f~ c-onccrntng th e ~TAkS ond MOON? 8.1 STARS ( C irde One): H.2 MOON (Ctrclr! 011c): a . Bright moonl1ght b. Dull moonlight c. No moonlight-pitch dark d. Dcn'rremttmber d. Don't remember 9. What w~:-e t~ ~ weather conditions at the timt! you sow the object? CLOUL1S ( C,rcle o.-,e): NEA Ttl E R (Circle One): Clear c;ky Hazy b. F og, mist, o r I ight ra in Scattcre : ::lauds c . .~oder.:Jt .. or hcu-.. y r a in d. Thick c ,eavy clouds d. n't r.!rttcml)~r 10. The ouject appeared: (Circle On~:): Sol id d. As a li ght b. T rcn sp l". D on't re m.ambe r 11. If it appeor.-d a s a light, was it brigh~cr the n the brightec;t stars? (Circle One): , o . 8dghter c. A bm.t t h e some d. Don't I< now 12. T h e c:!g'! s : f ~:,e object were: (C,;cl;o; :r~): a. Fuzzy or blu.-:-t:1 b. Like a bil ~h t -~t :;r c. Sharnly out!:n&d d. Don't remei;,ber Did t h: c S ( Circle One for each qu~stion) Ap~ec:- ; ~ :; .... d st iII at any t ime? Yes 'No Don't krH1" SuJbn !.., s d up onri ructh away at any tim"? Yes Breok u p ~ ~o parts or explode? Don't k:1c, ,, Give cf! s~:-'<e? Don't kn, Change cr;;""tness? Don' r knt~, Change si~ ,~? No Don't knc''' g. Flash or flicker? Yes No Don't knc '' h. Di sappeor nnd reappear? Don't kw" 14. Did the obiec:t disaooecw whil~ you were watching it? If so, how? 15. Did thtt ob~r.t move ~ind som,.,~i"~ nt any timtt, pt1rticulorly a cl~ud? (Cirt:l~ J11f!): Oo~t Know. IF you answered YES, then tell what (Circlo O:te}: Don't Know. IF you on~w'!trtJd YES, then tell what 17. T e If in o f,.,w words th~t fnllnwinq th i"gs about the obioct: 13. We wish to know the angular size. Hold a match stick at arm's length in line witn a known ob!Kt and not how much of the obiect is covered by thtt httnd of the match. If you had cerform"'d this exp.;rim~t11t at the tim. of tha s ightin.J, h~w much of th~ ohiect woul~ hove been covered by the match head? Drew= -;ic-... ~ mat will show the sn:lpe of the obiect or obiects. Label and include in your sketch any detnils of the ~:, ~-=~ 1l--~t you sow such cs wings, protrusions, etc., and especially exhaust trails or vapor trails. Pice~ .:::1 =r-.,w ~side the drawi.,g to show the direction the object was moving. 20. Do you think y ou can estimate the speed of the obiec.:t? (Circle One) IF you onswl!trd YES, then what speed would you estimate? ; 21. Do you thin~ you can et.timate how far away from you the obi oct wo.1? (Circle One) IF you :~nswred YES, then how far away would you say it was?---------- 22. Wher'! wer!! y ou locatad when you saw thtt object? (C ire le Ote \: Ins id~ o building c. Outdoors d. In 'an o;r~lc:n~ (type) e. At s .. o 23. Were you (Circlt! Ont!) a. In th" bu~in~ss section of a city? b. In the residential section of o ci~y? @In op~n c-ountrysid,? -d. Neor '=1n oirfi" ld? Flying o~r~nr a city? f. Flying ovor o~n country? 24. IF yC'u w"re MOVING IN AN AUTOMOBILE or oth~r vehicf~ at the t ir:1e, then complete th~ following questions: 24.1 What ~irection were you moving? (Cirde One) a. N~rth c. East b. Northeast d. South.~ost f. Southwest .!.2 rlow ;~ st were you moving? ,miles per hour. 2&.3 Did /'=>V stop at any tirn~ wh i l~: you were looking at the ob;ect? (C,:de One) 25. Did y:., =-~"'~!' tha object through ony of the following? e. Binoculars ~-1.) f. Telescope ~ ~ Yes No Theodolit$ h. Nor~hwest 26. In ord&r th~t y~-... :on give as cleJor o picture ns possibta of what you sow, d~scribe in your own words a common object or obi-'c~s which, wh~n pl~cod up in the sky, would give the sorl"e appearance as the obiect which you saw. 27. In the following sketch, imagine that you 01" at th~ point sho .vn. Place or "A" on t',., curved i in~ t o ~how how i high the object was above the horizon (skyline) wh~i1 y ou first sow it. Pk1ce a "B" o'1 th~ ~m,,~ curv"ld lin~ f('l show how hi;h the obiect was above the horizon (skyline} when you last !.OW it. Place on A" on th~ compass when you f1 saw it. Place o "B" on the compass where y~u last saw tltc object . 28. l.1raw a p ictv"e that wi II show the motion that the object or objects rnade. Place on "A" at the beginning of thf: p:1th, o "~" ot the end of the path, c~d show any changes in direction during tht. course 29. IF t he re .ves -w".ORE THAN ONE o~;ect, then how many were there? Draw o -:-;:ro:~ :;; r:>w they wer~ crrcnged, onJ put an arrow to show the direction that they were traveling 30. Hova you over leen thi~, or a . s imi lor obie d bafor.,. If 30 giv o clu;o or dot"s on.:f lc.c{ltil,)r1, 31. Wo~ aMyr.>~ e ise with you ot the time you saw the obiect? (Circl~ One ) 3 1.1 IF y~ 0:1swr Jd YES, did t he y soe tho obiect too? (Circle One) 31.2 ? ~!'cse I ist their names and ad dresses: 32. Please g iv~ the followi information a bout yourself: irat Name Middle Nom i~ji.::lt o-~ cdditit."nal informatior .::Sollt yourself, including o"y special O)(!'.,ri&nco, which mig ht be ~rtin~nt. 33. When a nd t o whoM did y ou ' " port tho t you hod sea n the obj"ct? Month Yea r DEPARTMENT OF THE AIR FORCE HEADQUANTE"8 trO .. EIGN TECHNOLOGY DIVISION ( AF'SC) WRIGHT.PATTEIIt!ION AIR trORC BASE. OHIO ASA33 tJ?J Observation Reference your recent unidentified flying object sighting \.'hich you reported to the Air Force. The information \.:hich we have re~eived is not sufficient for a scientific investigation. Request you complete the attached AF F011n 117 and return it in the self- a~dressed envelope. Thank you for reporting your observation to the Air Force. ~irector of Production AF Forcn 117 34. Date you completed this questionnaire: 35. Information whic., you feel pertinent and which is not adequately covered in the specific points of the questionnaire et a narrative explanation of your sighting. TDPT (UFO) Lt Col Quintanilla/70916/ sjc/28 June 1968 UFO Observation, 13 March l)OfJ ~. Reler2nce Jour unld~ntit1~ flying o~ve {UFO) obae1va~ioo of 13 :larch l96d ~. :rhe ~tlmulus for ;jOI.lr ait)