PROJECT BLUE BOOK

PROJECT 10073 RECORD
1. DATE · TIME GROUP LOCATION LOCATION
5 July 66%07552 Lakewood, California Lakewood, California 1 witnoss wituess
3. SOURCE SOURCE 10. CONCLUSION
Civilian Civilian Aircraft (possible) Aircraft (possible)
3 14 y.d.
4. NUMBER OF OBJECTS NUMBER OF OBJECTS
One One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
4 minutes Observer noted red and green lighted object that sped off
6. TYPE OF OBSERVATION toward the NE after stopping in its flight path.
Ground Visual
7. COURSE
NE
3. PHOTOS
Yos
No
9. PHYSICAL EVIDENCE
0x Yos
No
FOR
FTD SEP (0 0-329 (TDE) Previous editlons of thle form rey he yeei.

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.s. Air Force as much
information as possible concerning the unidentified aerial phenoinenon that you have observed.
Please try to answer many questions as you possibly can. The information that ycu give will
be used for research purposes. Your name will not be used in connection with any statemenis,
conclusions, or publications without your permission. We request this personal information sc
that if it is deemed necessary, contact you for further details.
2.Time of day: 12 -55
Hour Minutea
5 JULY 19610 (Circle One): A.M. P.M.
Your or
Day Month
3. Time Zone:
(Circle One): a. Eastern (Circle One): : . Daylight Soving
b. Cantral b. Standard
c. Mountain
d. Pacifie
o. Other
4. Where were you when you saw object?
LeAireWooD CALIE
Neareat Pontal Address City or Town Stata or County
- (Total Duration) O O 4
Hours Minutes Seconds Seconds
. Certain c. Not very sure
b. Fairly certain d. Just a guess .
clock
5.2 Was objoct in sight continuously? YesK No_—
6. What was the condition of the sky?
DAY NIGHT
a. Bright . Bright
b. Cloudy b. Cloudy
(Circle Ona): a. In front of you d. To your loft
b. In bock of you e. Overheod
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164. jul 61, which ls obsolete.

. Don't remomber
0. The object appeared: ircl One):
a. Solid d.As a light
b. Transparent o. Don't remember
c. Vapor
1. If it appeared aa a light, was
a. Brighter c. About the same
. Dimmer d. Don't know
The sdges of the abject were:
(Circle One): a. Fuzzy or blurred (Circle One): a. zxy or blurred . Other o. Other
b. Like a bright stor
Sharply outlined
d. Don't remember
.Did the object: (Circis One for soch question)
a. Appear to stand still at any time? Yos No Don't know
b. Suddenly speed up and rush away at any time? YOs No Don't know
c. Break up into parts or explode? Yes Ne Don't know
d. Give off smoke? Yos No Don't know
o. Change brightness? Yes Don't know
f. Change shape? Yas Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes Don't know

Yeo - dt sped off oard the NE
(Circle One): Yos Don't Know. IF you answered YES, then tell what
it moved behind:
A TRee
(Circle One): Yes No Don't Know. IF you answered YES, the" te!! what
in front of: -
17. . Toll in a few words the following things about the object:
a. Sound Scrichiing
b. Color gnad
. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and nnt, how
much of the object is covered by the head of the match. If you had performed this experiment at the tire at tt:e
Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details . Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
G-RAY Red+ Gee Lights
coudn
C

(Circle One) Yos No
IF you answered YES n what speed would you ostmate? 3oomph-cormale testop-10o mphs
object was?
(Circle One) Yos No
IF you answered YES, then how far away would you say it was? 200feet
22. Where were you located when you saw the object? 2. Were you (Circle One)
(Circle One):
a. in the business section of o city?
o. inside a building b. In the residential suction i a city?
b. In a car c. In open countrysids?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other g. Other_
24. 1 questions:
24.1 What direction were you moving ircle One)
a. North c. East . South y. West
b. Northeast I d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? — miles per hour.
(Circle One) Yos No
2. Did you observe the object through any of the following?
a. Eyoglasses Y. No . Binoculars Yes
b. Sun alasses Yes No f. Telescope No
object or objects which, when placed up
Withing thot I can thinkot
execst
+riangle with s its edpres
L
Red't yreen

30•
15°A
SW SC,
28. . Draw a picture that will show the motion that the object or objects made. Place an "A' at the beginning of the
path, a "B at the end of the path, and show any changes in direction during the course.
SW
$A-- -
-
there?
Draw a picture of h o show the direction that thsy wers traveling.
.
L C.
-

not but knowledge o f
Had
rattetc. Through
CORRDSP ad .
When and to whom did you report that you had seen the object? Prosedt βlue Book
Day Month Yoar

Day Month You
questionnaire or a narrative explanation of your sighting. elfic points of the
The object CA from the sw atabout
601 high then CAme diecty oN an Easterly
PATH sweRved thew went NE stopped about
my house stopped  torabout
3minets ther sped tousred
OFF the NE
L!
j
1
.
I
a

BE
-.
Pago 8
4
7
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