PROJECT BLUE BOOK

Loral - Ground-Visual Probebly Aircrait
2210 CAir-Visul Air-intercept Rodar Possobly Aircraft
GMT
5. PHICTOS o. SOURCE Was Astronomical
-Yns airman 0 Probably Astronomicul
1 C Possibly Astronomical
z No
7.LENGTA GF OBSERVATION 8. NUMBER OF CBJECTS I 9. COURSE LOHO Other
1 Insuiticient Oata for Evaluation
minutes 1 WSW Unknown
I
HO. BRIEF SUMMARY OF SIONTING 111. COMMENTS
balloon launchi.
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SEP 52)
.

-
it? THU y4
Tites Was o
AN IMAGE
OF THE ERTH
28. Give the following mation about irself
NAME E Jame
Last Name
ADDRESS N
29.2 Please list their nanes an essest
MRs

lue ogeu at d
maghe it
dilit see his FHea )
qig Zoun Deoture in
DETL the
Met
.
Eng 1=2
.

1. When did you see the object:
Seet. 1252
1.1 Date: 2 Month Year
A.M. or P.M. (Circle One)
Min.
② Eastern d. Pacific .
b. Central e. Other
c. Nountain
(CirelaOne): a Daylight Saving
b. Standard
1.4 Circle one of the following to indicate how certa ain you are of I
your answer to the above question l.2:
© Certain Not very sure
b. Fairly certain d. Just a guess
My ero Urginia
Postal State Country
Additional Remarks:
.
. Where were you located when you saw the object:
(Cirele One): a. Inside a In an airplane
In a car e. At Gea
C. Outdoors f. Other
3.1 Were you:
C
(Cirele One): a. In the business section of a city? 1.
b. In the recidential seotioa of a clby?
In open-countryside?
d. Flying near an airfield? 1
e. Flying over a city?
f. Flying over open country?
g Other 18
.

Try to list the activity or activities and the approximate amount
of time spent on each.
Idren
for the ride
-
7. Were you moving (Circle One):
Doit Kasw eyeet
(Circle Ons): 1. Morth e. South
14 Morthesst 2. Southwest
D. East g. West
d. Southeast h. Northwest

following to indicate
your answer to the above question and preceding question (8 and
8.1).when I Qm Unee an cave
it
a. Certain Not very sure
b. I Fairly certain d. Just a guess
9. Were you wearing ey le One):
(es or M
lo. How was the object seen?
(Circle One). a. Through window glass e. Through theodolite
6J Through windshield f. Through sunglasses
c Through binoculars g• Through open space
d. Through telescope Other
11. What do you remem saw the
object?
11.1 11.3 WEATHER (Cirele One) .
3 Clear sky Dry
b. Hazy Fog, Mist, or light rain
c. Scattered clouds Moderate or heavy rain
d. Tho.ck or heavy clouds d. Snow
e. Don't remember
- 11.4
No wind a. Cold
Slight breeze b. Cool
c. Strong wind © Warm
d. Don't remember Not
e. Dou't remember
. SECTIONC
12. Batinate hou long you daw the object?
Hours Hinutes Seconds

14. Did me
lh.1 Change direction? Yes NC Don't know
14.2 Change e speed? Yes NO Don't know
14.3 Change size? Yes NO Don't know
14.4 Change color? Yes no Don't know
114.5 Break up into parts or Yes No Don't know
explode? 2r d30
14.6 Give off smoke? Yes No Don't know 25
14.7 Change brightness? Y Ye Don't know
14.8 Flicker, throb, or Yes No Don't know
pulsate
14.9 Remain motioniess? Yes No Don't know
15.I Did the object give off (Circle One): (Yes)Mo Don't know
Geil ewhite
16. Tell in a few word I
3
28. Did the object at any time:
10.1 Move batied soneting: (Cirole One) @ Doalt knoy
IF you

a. Pea f. Automobile
b. Baseball g. Small airplane
C. Basketball h. Large airplane
d. Bicycle wheel i. Dirigible
e. Office desk j. Other 7
19.1 Circle one of following to
ansver Muestion 19.
a. Certain c. Not very_sure
b. Fairly certain d.Uncertain
2. Try to te gs abou
20.1 How high above the earth was it? feet,
20.2 How far was it from you? fee or miles!
20.3 How fast was it going? miles per hour. Sa eed 5
20.4 Circle one of the following how cer ar your
answer above questions: of scheduled
Jot very aur dirline
E
Horizon
A You
I

AB
Horizon Horizon
You
24. Draw a picture that will show the motion that the object made. Place an
"A" at the beginning of its path and a
a
A B liRe
Very
plane
F
4 .

26.1 IF you answered MO, itions did
ones?
27.
it? I doit Rron.
28. Give the following information about yourself:
NAME
Name Name Midale
ADDRESS oct Ung
29,2 Please ilat their nanes and adiresses:
. 2
.

.

4. obserred
from the outakis
5. The
the vioinity whe gaw the
or addresses of them.
DISTRBUTI RIGINATOR

S.r District Helghts
Maryland
Dear Mr
Your recent report of unidentified aerial p phenomena has been
received by the Air Technieal Intelligence Center. Inclosed is a
questionnairo, whisn, when completed by you and returned in the
inclosed, self-aidre and envelope, will aid in standardizing the
data and will pro record
Your intere rapor the matter and
desire to be of Teatly
Sincerely yours.

1.2 Time of Day:
a Eastern d. Pacific
- Central e. Other
c. Iountain
(Circle One): a Daylight Saving
a Standard
1.4 Circle one of the following to indicate how cer you are of
your answer to the above question l.2:
a. Certain C. Not very sure
. Fairly certain Just a guess
2. Where were you en you saw the object:
Other
3.1 Were you:
(Circle One): a. In the business section of a city?
b.
c. In ooenr couitrysida?
d. Flying near an alrfield? 4
201 e. Flying over a city?
f. Flying over open country?
? g. Other
-

SECTION B
6. What were you oject?
+
. ERO
6.11 What had you been doing for the 30 minutes before you the object?
Try to list the activity or activities and the approximate amount
of tine spent on each.
SitTin
7. (Circle One):
(Cirele One): 3. Morth e. Souith
ha Mortneast Bouthwest
C. East g. West
d. Southeast h. Northwest
-

8.1).
Q Certain . Not very sure
Fairly certain d. Just a guess
cle One):
Yes or (No)
10. How was the object seen?
a, window glass e Through theodolite
b. windshield f. Through sunglasses
c. binoculars g Through open space open space
d. Through telescope Other
11. What do you rer What do you. ons at the time saw the
object?
11.1 CLOUDS (cirela One) 11.1 11.3 WEATHER (Cirele One)
ac a Dry
6 Hazy Fog, Mist, or light rain
C. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds Snow
e. e. Don't remember
11.2 WIND (Cirele One) 11.4 TEMPERATURE (Cirele One)
No wind Cold
6 Slight breeze Cool
C Strong wind c, Warm
d. Don't renember d. Hot
e. Den't tember
SECTION C
12. Hetimate how long you saw the objeet?
Hours linutes Seconds

u.5 Break up into parts or Yes Don't know
explode?
14.6 Give off emoke? Yes) Don't know
14.7 Change brightness? Yes Don't know
14.8 Flicker, rob, or Yes No Don't know
pulsate? 18
14.9 Remain motioniess? Yes No Don't know
15. I (Circle One):(Yeso Don't know
he light? FA
5
28. Did the object at any tine:
13.1 (Cirele One)_Yes) Donie knoy
Desriler

you saw? (Circle One):
a. Pea Automobile
b. Baseball g. Small airplane
C. Basketball h. Large airplane E
d. Bicycle wheel 1. Dirigible
e, Office desk Other
19.1 Circle one of the following to your
ansuer Question 19
Certain c. Not very sure
Fairly certain d. Uncertain
20. Try to te lings about the object:
20.1 How hign above the earth was it? 15000 feet.
20.2 How far was it from you? feet or 7-3 miles.
20.3 How fast was it going? 3500 miles per hour.
20.4 Circle one of the following to indicate how certain you are your
answer above questions:
(skyline) when you first saw it. Place a "B" to show where it was when
you last saw it. Overhead
A
_Horizon
You

Page 6

23. In the following sketch place an "A" at the position the object was when
you first saw it, and a "B" at its position when you last saw it.

Overhead

eS

Horizon Horizon
You

2h. Draw a picture that will show the motion that the cbhject mace. Place an
"A" at the beginning of its path anda "B" at tne end of its path.

= -
pad
4 -
" —
_—— Yar

25. Draw e picture that will show the shape of the object. Label and include
in your sketch any details of the object that you saw and place an arrow
beside the drawing to show the direction the object was moving.

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ae: z
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id aa sd et , - , -
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