PROJECT BLUE BOOK

PROJECT IC073 RECORD
1. DAIF · TIME GROUP 2 LOCATION
Sept 66 07002 Arroya Seca, Calirornia (1 witness)
3. MODICE 10. CONCLUSION
Civilian INSUFFICIENT DATA FOR EVALUATION INSUFFICIENT DATA FOR EVALUATION
1. NUMBER OF OBJECTS NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION 1. BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
10 seconds SEE CASE FILE SEE CASE FILE
. TYPE OF OBSERVATION l.. TYPE OF OBSERVATION
9
Ground Visual
7 COURSE
South-North
8. PHOTOS
n Yes
y:Nc
9. PHYSICAL EVIDENCE
i7 Yos
C. No.
FORM
F-TD SEP 63 0-329 (TDE) Prevlous editiona of this form may be used.
.

SepT 66
Cmaffiient clata
U.S. AIR FORCE TECHNICAL INFORMATION
Calforeif
This questionnair s been proparod so that you can give tho U.S. Air Force as much
information as possible concerning tho unidontifiad aarial phonomenon that you have obsorvad.
Ploaso try to answer as many questions as you possibly can. The information that you give will rOUCAN
be used for research purposos. Your name will not be used in connaction with any statements,
conclusions, or publications without your permission. Wo roquest this personal information so IHAUP
that if it is deemed nocessary, wa may contact you for further dotails.
N0 081,
1. When did you ses the object? 2. Timo cf day: 1/00
Hour Minutes
Lat sext. 1966 sept. 1966
(Circle Ona): (Circle Ona): A.M. or P.M. P.M.
Day Month Year
3. Time Zone: 3. Time Zone:
(Circle One): (Circle One): a. Eostern (Circla Ons): a. Daylight Saving (Circla Ona): a. Daylight Saving
b. Central b. Standard
c. Mountain Mountain
d. Pacific Pacific
. Other
4. Whore were you when you saw tho objoct?
Cempdea Califoin
Noorest Postal Address City Or Town State or County
5. How long was object in s Total Duration) 10
Hours Minules Seconds
c. Certain c. Not very sure
. Fairly cortain d. Just a gusss
the dond
5.2 Was objest in sight continuously? Yes_--- NoX
6. What was the condition of the sky? 6. What was the condition of the sky?
NIGHT 7
a. ant . Bright /
bCloudy b. Cloudy
7.IF you sow the object during DAYLIGHT, whare was the SUN located as you looked at the objoct? 7. IF you sow the object during DAYLIGHT, whare was the SUN located an you looked at the objoct?
(Circle One): a. In front of you (Circle Ono): a. In front of you . d. . d. To your loft To your loft
b. In bock of you b. In back of you B. 0. Ovorhaed Overhaed
c. To your right f. Don't remamber
FORM Reproduced by Library of Congress, Legislative Referance Service
FTD OCT 62 164 This form supereedes PTD 1s4, ju! 6l, which to obsolete. May 1966
11

Page 2
8. IF you saw the object at NIGHT, what did you notice co-cerning the STARS and MOON? I
- 8.1 STARS (Circle Ore): 8.2 MOON (Circle One): i
a. None a. Bright moonlight
b. A few b. Dull moonlight
- C. Many c No moanlight -pitch dark
d. Don't remember d. Don't remambar
-
9. What were the weather conditions at the time you saw object?
CLOUDS(Cirele Om): WEATHER(Circle One): .
.
a. Clear sky 6. Dry ..
b. Hazy Fog, ist, or light rain
c. Scattered cloud- Modernt or heavy rain ..
d. Thick or heavy c'ouds Snow
e. Don': romember
10. The object asseared: (Cirele One): -..
.
a. Solid d.As a light) 1
c. About the some
dDon't know
12.The ediges of the otiect were:
(Circle One: a. Fuzzy or blurred c. Other
D. Li…bright sior
. Srare'y outlined
Con' remember
.Did the object: (Circle One for each question) (Circle One for each question)
!
a. Appear to stand still at any time? Yes Don't know
b. b. Suddenly soeed up and rush awoy at any time? Suddenly speed up and rush awoy at any time? Y'rs Y'rs Don't know Don't know
c. Break uo into parts  explode? Yrs Yrs Don't know
.d. d. Give aff smav- Give aff smar- Yas Dan't know
6. Change brighmess? Change brignmess? . Yes Yes g999:9 Don't know
f. f. Change shope? Yas Don't know
9. Flash or flicke: Yes Don't know
h. Disoppear ond reoppecr? Yes Don't know

Png 3
14. Did the obiect disappour while you were watching it? If so, how?
over ar moesitain
15. Did the abjes' move behind something at any time, particularly a cloud?
(Circle Onel: Yes No Don't Know. IF you answered YES, then tell what
it moved tehind: _
ind
1. Did the object move in front of something at any time, particularly a cloud? 1.Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No No Don't Know. IF you answered YES, then tell what
I in front of in front of.
17. Tel! in a few words the following things about the object: i7. Tel! in a few words the following things about the object:
a. Sound __ hene
. coio white ligt
We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how
much of the object is covered by the head of the match. If you had performed this experiment at the time of the I
! sighting, how much of the object would have been covered by the match head?
: :
. all ot it
1. Draw a picture that will show the shape of the object or objocts. 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.
Place an arrew beside the drawing to show the direction the object was moving.

I.
Pogo 4
20.Do you think you can estimate the spead of the object? twat
(Circle One) Yos No tvie at past
2. Do you think you can estimate how far away from you the object was?
(Circle One) Yos No .
Iomile Dagt
22. Where were you locoted when you sow the object? 2 Wore you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building b. In the residential section of a city?
b. In o car c. n open countryside?
c. Outdoors d. Near an airfield?
d. Tn an airplone (rype) . Flying over a city?
e. At sea f. Flying over open country?
f. Other - f. Other. g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle ot the time, then complete the following questions:
24.1 What direction were you moving? (Circls Ono)
c. North c. East e. South g. West
. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fost were you moving? _miles per hour.
24.3 Did you stop.at any time while you ware looking at the object?
(Circle One) Yes No
2. Did you cbserve the objert through any of the following?
. Eyeglasses Yes e. Binoculars Yos NO
b. Sun giosses Yes f. Telescope Yos No
c. Windshiela Yes 0009 g. Theodolite Yes NO
Tes g.
d. Window gless Window gless B Yes h. Other h. Other-
2. In ordar thar you an give as cloar a picture as possibls of what you saw, doscribe in your own words a common 26. In ordar thar you an give as clear a picture as possibls of what you saw, doscribe in your own words s a common
objoct or objects which, when placed up in the sky, wauld give the same appearance as the object which you saw. objuct or objecis which, when placed up in the sky, wauld give the same appearance as the object which you saw.
a slowenos patatoe a slowinos patatoe

ORTA
Pago S
show how high the object was above the horizon (skyline) when you last saw it. Place an "A compass
whon you first sow it. Place a "B"" on the compass where you last saw the object.
90°. - 75°
B
NW NG
30°
-15•13 -15•13
SW
2. Drow a picture that will show the motion that the object or objects made. Place an "A" at the boginning of the
path, a "g" at the end of the path, and slun any changes in direction during the course.
OONAIN
TREE
2. IF there was MORE THAN.ONE object, then how many were there?
Draw a picture of how they were crranged, and put an arrow to show the direction that they were traveling. S
.

bug's
30. Have you ever seen If so give date or datos and location.
31. Was anyone clse with you at the time you saw the object? (Circle One) No
31.1 IF you answered YES, did they see the object too? (Circle One) No
3 2 Plaase ist their names and addresses:
Te helged
Short S Cailli on
NAME NAME
Last Name Lost Name First Name Middie Name Middie Name
ADDRESS PACIEIC GROIE CALIF.
Street City 2ore State
TELEPHC ONE NUMBER AGE 12 SEX M
xperionice, which might be pertinenr.
•
Ever since.lnl 222n the aljeat
UFO
halbr.
o me
. When and to whom did you report that you had seen the object?
Day Month Your Yoar N0B00Y 2 0
.

Pago7
34. Date yqu con this questionnoire: SAT ARIL,8. 1962
Doy Month Your
the specific points of the
questionnaire or a narrativa explanation of your sighting.
; •
St
viesion so wi newwhat it wadr
..
To T make make Ruze Ruze it it ...
meve camt
1
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