),, DATE TIME Gfi.JUP 2. l OCATION 10, CONCLUSION 4. NUMBER OF OBJECTS lENGTH OF OBSERVATION 15-?.0 minUL0S 6. TYPE OF OBSERVATION Gl'OIIl a-Visual 7 , COURSE 9, PHYSICAL EVIDENCE Other (UNRELIABLE REPORT) This is the 22nd UFO the observer has sie hted 11, BRIEF SUMMARY AND ANALYSIS SEE CASE FILES 27. INF ORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH I S N O T ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING . PAGE 9 OF 9 PAGE~ lA. NOW IMAGIN!. YOU Al'l!. AT Til!. C!NT!" 0, THE COMPASS ROSI!. P'LAC!. AN "A" ON THI: COMPASS TO INDICATE THE DIR!CTION TO THE PHENOMENON WHEN FIRST SE!.tl. PlAC E A O N THE COMPASS TO INDICATE THE D IRECTION TO THE PHENOM!.NONWHI:N LAST S!I:N. 7 . IN THE SKETCH BElO W, PLACE AN "A A T THE P OSITI ON OF THE PtiENOM E N O N WHEN FIRST SEEN , AND A a AT THE P O SITION O F T~E PHENOMENON WHEN lAST SEEN. CONNECT THE "A" AND e WITH A LIN E TO APPROXIMATE THE , MOVEMENT O F THE PHENOMENON BETWEEN "A" AND e. THAT I S, SCHE ... ATICALLY SHOW WHETHER THE MOVEMENT APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER T O SMALLER SKETCH AS AN E XAMPLE O F HO W T O COMPLETE THE LA .. GER SKETC H PAGE 2 OF 9 PAGES SIGHTING OF UNIDENTIFIED PHEN~ENA QUESTIONNAIRE BUDGET BUAU ~riOVAL THIS QUESTIONNAIRE liAS OEEN PREPARE D SO Til AT YOU CAN GIVE THF. U. S AIR FORCE AS MUCII INFORMATIO N IBLE CONCERNING T H E UNIDENTIFIED PHENOMENON THAT YOU HAVE O D SERVED. PLEASE TRY TO ANSWER ALU O F THF. QUESTI ONS. T H E INFORMATION YOU GIVE WILL B E USED FOR RESEARC H P URPOSES. UR NAME WILl,-NOT OE USED IN CONNECTION WITH ANY OF YOUR STATEM ENTS OR CONCLUSI ON S WITHOUT YOUR PERMISSidN. RETURN T O AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT- PATTER&QN AFB, OHIO 45433, I AW AF"R 80-f7. (IF ADDIT I ON A L Sf/EF.TS ARE NEEDED FOR NARRA T/VE OR SKETCHES ATTACH SECURELY TO Tlf/S FORM O R ANNOTATE WITH YOUR NAMF. FOR IDF.NTIFICATION.) 1. WHEN DID YOU SEE THE PHEN O M E N O N ' C A Y 28 M ONTH _NQ.Y.embei'vEAR 1968 2. WHAT TIM E DID YOU FIRST SIGHl THE PHENO M E N O N > MINUTES 25 3 . WHAT TIM E DID YOU LAST SIGHT THE PHENOM E NON> HOUR 5 MINUTES -~Q 4 .TIM E ZONE flDAYLIGHTSAVINGS [)STANDARD 0 E A S TERN ( jCENTRAL QMOUN T A I N { '>ACIFIC f :oTHE R t-S_..:;:W;:o.H_E_R_E_W_ E_ R_ E_Y_O_U_ W_H_E_N;;:..Y..;_OUS AW THE PHENO MENON , IF I N Cl T y Gl VE THE NEAR I:.S T s T "'E E T AODR ESS _A_N_O_I_N_D-IC_A_T_E O_N-t A HAND oqAWN MAP Y/HEqE YOU WERE STANDING WITH REFERE NCE T O THE ADDRESS. IF ltJ THE '=OUNTR Y . IDENTIFY TH~ HIGHWAY YOU WERE O N I"IR N EAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOG'IIZABLE LANDMAFIK . Were travelling on Highway 60 approx. 1 0 miles e ast of Ontario, Ca11fornia. We were about three (3) miles f rom the Calif. Air National Guard and about same distanec from the Ontario Airp ort. We were travelling a t 65 mph in car going east-southwest . 6 . I MAGINE YOU ARE AT THE POIN T SHOWN I N THE SKETCH , PLAC E AN " A O N THE CURVED LINE T O SHOW HOW' HIG H THE PHEN O MENON WAS ABOVE THE HORIZON . OR SKYLINE WHEN FIRST SEEN . PLACE A 3" O N THE S AME CURVED LINE TO SHOW HOW HIGH ABOVE THE HORIZON THE I"HEN O M E N O N WAS WHE N L AST SEEN . AFR R0-17(Cl) 10. I F THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE' DRAW A PICTURE TO SHOW HOW THEY WERE A R RANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING' II. CONDITIONS (Chtck opproprwlc block ,f,) 8 . WEATHER CUMULUS CLOUDS (/.ow fluff>) FOG O R MIST TWILIGHT HEAVY RAIN CIRRUS CLOUDS (lfiRit {lrtcy or ll,.rrinR LIGHT RAIN O R DRIZZLE PARTLY CLOUDY COMPLETELY OVERCAST NIMBUS CLOUDS ( Ra1n ) CUMULONIMBUS CLOUDS (Thunders t orms) HAZE OR SMOG SN O W OR SLEET A ~lON E OF T'1E ABOVE C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON > Ill STARS (21 MOON X BRIGHT MOONLIGHT N O MOONLIGHT MOO N WITH HALO UNKNOWN PARTIAL (Ncu' or quarter) MOO N HIDDEN BY CLOUDS D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? 0 YES 0 NO. IF "YES." WHERE WAS THE SUN A S YOU FACED THE PHENOMENO N l IN FRO N T OF YOU TO YOUR RIGHT OVERHEAD(N~wMonJ IN BACK OF YOU T O YOU R LEFT E . SPECIFY THE MAJOR SOURCE O F ILLUMINATION PRESENT D URING THE SIGHTING, SUCH A S THE SUN , H EADLIGHTS OR STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATIO N , SPECIFY DISTANCE T O LIGHT SOURCE. It was naturally light-main source- moon and headlights some street-highway overhead lights 12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING 'NHETHER IT APPEARED DAqK OR LIGHT, WHETHER IT REFLECTED LIGHT OR WAS SELF -LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR I MPRESSION OF WHETHER IT WAS SOLID O R TRANSPARENT, WHETHER EDGES WERE SHARP O R FUZZY. DESCRIBE THE SHAPE OR INDICATE IF I T APPEARED AS A POINT O F LIGHT. I NDICATE COMPARISON S WITH OTHER O BSERVED OBJECTS, LIKE STARS. A LIGHT OR OTHER OBJECT I N YOUR FIELD OF VIEW. ObjeCt WBS SOUrCe Of light WhiCh SCemed tO r otate e v ery one-half second-very fast pulsation. Only bright, white light wa s visibl e -no other sign of running lights. When first seen -object was stationary and then started west and at approx. 6-800 miles per hour. No detail of shape could be seen- just the pulsating or rotating light-did not resemble any object in fjeld of vie w. Object appeared a s plAnet in brighhness-as bright a s Jupiter or moon( ~upiter was visibl A to the northwest of object- moon to the north. PAGE 4 O F 9 PAGES ~H<Iot!J WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (f: h,r k "fll""l''i"t'" blork .<.) IN BUSINESS SECTI O N o r CITY X OUTDOORS IN BUILDING I N RESIDENTIAL SECTION o r C ITY X IN CAR 0 AS DRIVE R _I) AS PASSENGER X IN OPEN COUNTRYSIDE IN BOAT X N EAR AIRF IELD IN AIRPLANE 0 AS PILOT 0 A S P ASSENGER FLYING OVER CITY rLYIN G OVER OPEN COUNTRY IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING HOW r AST WERE YOU MOVIN G> WHAT DIRECTION WERE YOU MOVING' SOUTH WEST 010 YOU STOP ANYTIME WHILE O BSERVI N G THE ' NORTHEAST SOUTHEAST NORTHWEST SOUTHWEST EXPLA I N WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6 No-the object steadily moved on path aleady described-we observed nh o,._i: ,.,.. "1 1 nrlow.s-all the way around the car.~waa _no_t_rAf'1 Ar..t:-1 nn DESCfliBE TYPE O F VEHICLE YOU WERE I N AND TYPE OF R O A D . TERRAIN O R BODY O r WATER YOU TRAVERSED DURI N G THE SIGHTING. STATE WHETHER WINDO WS OR CONVERTIBLE TOP WERE U P OR DOWN Car was '63 Malibu Chevrolet-road: highway-paved;terrain- flat-mountain range on all sides HOW MUCH OTHER TRAFFIC WAS THERE' 010 YOU NOTICE ANY AIRPLANES fVl YES 0 NO. IF "YES, " DESCRIBE WHEN THEY WERE IN SIGHT RELI'TIVE TO T H E T I M E SIGHTING T H E PHENO M E N O N ANOt"HERE THEY WERE I N THE SKY RELATI'(E TO THE POSITION Or T H E PHENOMENON. Three aircraft (looked like jet typeJ circled object and one turned and seemed to dive at object and then pulled up. Aircraft were in area most of time when objet was observed. 9 . H O W LONG WAS THE PHENOMENO N IN S IGHT > LENGTH OF TIME CERTAIN O F TIME NOT VERY SUR E 15-20 minutes y F AIRLY CERTAI N JUST A GUESS HOW WAS TIME OETERMIN E O> By wrist watch WAS THE PHENOMENON I N SIGHT CONTINUOUSLY ~YES n N O . 1r "NO , INDICATE WHETHER T HIS IS DUE T O YOUR OVEM ENT OR THE BEHAVIOR O F THE PHENOMENO N;ft.ANO DEScR IBE SUCH MOVEMENT OR BEHAVIOR. I NDICATE OISA<>. PEARANCES ON PREVIOUS SKETCHES. PAGE 3 OF 9 P A GES AFR R0-17(Cl) Ill. DRAW A PICTURE THAI WILL SHOW THE SHAPE OF THE PHENOMENO N . I NCLUDE AND LI\BEL ANY DETAILS THAT MIGHT HAVE APPEARED A S WI N GS O R PROTRUSIONS, AND INDICATE E...CHAUST OR VAPOR TRAILS. INDICATE B Y AN ARRO W THE DJ~ECTION THE PHEN OMENO N WAS MOVIN G . .r-~., /I ICc " I r/tll S 16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH I N FRON T OF A K N OWN OBJECT. SUCH A S A STREET LAMP O R THE MOON . NOTE H O W MUCH OF THE OBJECT IS COVERED BY THE H E A D O F THE MATCH. N O W IF YOU HAD BEEN ABLE TO PERFORM THI S EXPERIMENT A T THE TIM E OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE PHENOMENON WOULD H AVE BEEN COVERED BY THE MATC H HEAD. about one/half P A G E 6 O F 9 PAGES DID THE PHENOMENON YES N O UNKNOWN MOllE IN A STRAIGHT LINE' STANO STILL AT ANYTIME' SUDDENLY SPEED UP AND RUN AWAY? B .. EAK U'" IN PARTS AND EXPLODE' CHANGE COLOR' GillE OFF SMOKE' CHANGE B,.IGHTNESSl CHANGE SHAPE? FLASH O R FLICKER! DISAPPEAR AND REAPPEAR! SPIN LIKE A TOP? MAKE A NOISE' FLUTTER OR WOBBLE! 14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON' the planet .Tupi ter-i t was stationary and then seeme d and started moving quite fast. I then saw come around to outdistance aircraft. the v er y s Ame from all angles . Tt changed altitude twice quite went right back to former position . A . H O W 010 IT FINALLY DISAPPEAR? Went over horizon 8 . DID THE PHENOMENO N MOVE BEHIND OR IN ,RONT O F SOMETHING, LIKE A CLOUD, TREE, O R BUILDIN G A T ANY TIMEl 0 NO. IF' vEs, DESCRIBE. in fromt of mountains time-it sti l l Object moved one appeared as PAGE 5 O F 9 P AGES U. HAVI: YOU !VI!: .. SEEN THIS 0 .. A IIMILA .. II'HENOMENON 8!~0 .. In YIU NO. "vu, GIVE DATE Septembe r 22,1968 (most recent),location: et Oceanside,Californi U. WAS ANYONE WITH YOU AT TH! TIM! YOU SAW THE PHENOMI!:NONf ) YU 0 NO. IF yEs, DIO THEY SEC IT TOOt liJ Y!S 0 NO. LIST THEIR N~M!S AND ADDRESSES all at same addre 24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF LAST NAME, FIRST ~ME, MIDQ,L.E lfAMf:t Varner, uary, Kooer ADD,.ESS (Srruc, City, Scoce and Zip Code) treet,Oceanside,C aliforn i a 92054 X MAI.E FEMAI.E INDICIIIT! ADDITIONAl. INFORM INCI.UDING OCCUPATION AND ANY EXPEAIENCI: WHICH MAY BE PERTI N E N T . Th~s is the 22nd unidentified ob ject that I have seen in the past five years-however, all have been different but two. I do not know what it is-but i t was n o t like a ny type of aircraft that I have s een b efore . WHEN AND TO WHOM DIO YOU REPORT THIIIT YOU HAO SIGHTED THI S PHENOMENON? C A Y MONTH YEAR 26 . DATE YOU COMPI.ETED THIS QUESTIONNAIRE. MONTH Nov ember PAGE 8 OF 9 PAGES AFH H0-17(Cl) 17. 010 YOU OBSERVE THE PHEN O M E N O N THROUGH ANY OF THE FOLLOWING' INCLUDE' INFORMATIO N O N MODEL. TYPE, FILTER, L E N S P RESCRIPTION OR OTHER APPLIC"BLE O " T A . X EYEGLASSES C AMERA VIEWER SUNGLA SSES BINOCULARS X WINDSHIELD TELESCOPE SIDE WI NDOW OF VEHICLE THEOOOLIT E 8. Or:> YOU U!;E RI:.AOI N G GLASSES' [j YES r1 N O WI NDOWPANE A . 00 YOU OROINARIL Y WEAR GLASSES' ~ YE"S []"10 18. WHAT WAS YOUR IMPRESSI O N OF THE SPEED O F T ... E PHENO MENON ' GIVE ESTIMATE OF SPEED S00-1000 19 WHAT WAS Y OUR I MPRESSION OF THE OIST"NCE!'F THE PHEN O MENON' GIVE ESTIMATE O F OISTANCE5~ m~ le 20 IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE A S P OSSIBLE 0!'" WHAT YOU S AW, DESCRIBE IN YOU" O WN WORDS A COMMO N OBJEC T O R OBJECTS WHICH, WHE N PLACED IN THC SKY, SIMIL A R T O WHERE YOU NOTCD THE PHEN O M E N O N , OUL D B EAR SOM E RESEMBLAN C E TO WHAT YOUi AW. D,ESCRIBE~IMI!..ARITii$ AND.,OIF~ERC}'I~ES BE'[4'E,EII TI;E COMMO N OBJECT AND WH A T YOU S A W. Q p aneti SUCu aS p ane v t.IUp~ tier-tilll. S ~ S the only thing close to its description. However-.Tupi ter was in another portion o~ sky-above and to right o~ object 2 1. DID YOU NOTICE ANY ODOR. NOISE, O R HEAT E MANATIN G FROM THE PHE N O MENO N O R ANY EFFEC T o~ YOUPSELF , ANIMALS OR MAC H INERY IN TH:. VICINITYJ 0 YES (~NO. IF 'YES, " DESCRIBE. DID THE PHE N O M E N O N DIST URB THE GROUN D O R LEAVE ANY PHYSICA L EVIDE NCE. [)YES IJd NO. IF yEs, DESCRIBE. P AGE 7 OF 9 P A GES