PROJECT BLUE BOOK

PROJECT 10073 RECORD
DATETIME GROUP 2. LOCATION
22107. 66 23/07502 Rockiin, Oalir. one y wicness
3. SOURCE 10. CONCLUSION
Insufrici-nt data for evaluation 1
Civilion
4 NUMBER OF OBJECTS
Cne
5. LENGTH OF OBSERVATION 11. BRIEP SUMMARY AND ANALYSIS
30 minutes
Cbserver natched an osjeot that compared to a orange street
3. TYPE OF OBSERVATION licht about two blocks : As the object came closer a
It dimmed until hardly visible i appsared again as it
8. PHOTOS moved. The ob.erver could not raish any inrormation on
O Yes directions. The description is consistent with that o: an
X No aircraft observaticn in many ways; however, there is not
). PHYSICAL EVIDENCE information to reach such a conclusion.
Yos
XR No
FORM
ETD SEP 63 0-329 (TDE) PraVIona 4aiin af ihI  mAy b d.
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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 possi cerning the unidentified aerial phenomenc that you have observed.
Please try to answ questions as you possibly can. The information that you give will
be used for resea name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day:APPROX. 11:50
Hour Minutes
22 22 17 66 (Circle One): A.M. or
Day Day Month Year P.M.) (P.M.)
3. Time Zone: 3. Time Zone:
(Circle One): a. Eastern 6.) Daylight Saving
b. Central b.' Standard Standard
c. Mountain
Pacific
e. Other
4. Where were you when you saw the object?
Loomis Rocklin CALIF.
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) APPROX. 30
Hours Minutes Seconds
a. Certain c. Not very sure
( b.) Fairly certain d.Just a guess
5.1 How was time in sight determined? _Estimation
5.2 Was object in sight continuously? YesX No
.What was the condition of the sky? 6. What was the condition of the sky?
DAY NIGHT
a. Bright Bright a) Bright a) B ight
Cloudy Cloudy b.
.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overheod
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes F TD) 164. Iul 61. which is obsolete.

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.IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
( . Bright moonlight /
. None
(b.) A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. d. Don't remember
. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
( a.) Clear sky ( a.)Clear sky 6.) Dry, p.) Dry, e cold. A
b. Hazy .Fog, mist, or light rain b. Fog, mist, or light rain
c. Scattered clouds Scattered clouds . c. Moderate or heavy rain Moderate or heavy rain
Thick or heavy clouds d. Snow Snow
e. Don't remember
10. The object appeared: (Circle One):
(a.) Solid ( a.) Solid d.As a light d.As a light
b. Transparent e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
( a.) Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
2X MAGNITUDE VENUS
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other ALMOST UNSEENS - ESPE
b. Like a bright star cially on sides.
c. Sharply outlined
d. Don't remember
Did the object: (Circle One for each question)
a. Appear to stand still at any time? (Yes (Yes) No Don't know Don't know
b. b. Suddenly speed up and rush away at any time? Yes N N) Don't know
c. Break up into parts or explode? Yes ( Nd (Nd Don't know
d. Give off smoke? Yes (N (Nd Don't know
e. Change brightness? {es) No No Don't know
f. Change shape? Yes No (Don't know) (Don't know)
g. Flash or flicker? $rYes Ye) No Don't know
h. Disappear and reappear? No Don't know
.

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Did the object disappear while you were watching it? If so, how?
DIMMED UNTIL HARDLY VISIBLE-THEN APPEARED AGAIN-AS IT
Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes (No) Don't Know. IF you answered YES, then tell what
it moved behind:
1. Did the object move in front of something at any time, particularly a cloud? Io. Did the object move in front of something af any fime, particuiariy d cloud?
(Circle One): (Circle One): Yes Yes (No) Don't Know. IF you answered YES, then tell what IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things about the object: .Tell in a few words the following things about the object:
a. Sound a. Sound_ NONE
b. Color BRIGHT ORANGE-YELLON
18. 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
sighting, how much of the object would have been covered by the match head?
AT CLOSEST POINT: approx. half
. 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.
Place an arrow beside the drawing to show the direction the object was moving.
lights were orange
INAISTINCT
L

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20. Do you think you can estimate the speed of the object?
(Circle One) (Yes) No
until stopped.
2Do you think you can estimate how far away from you the object was?
(Circle One) (Yes) No
22. Where were you located when you saw the object? Were you (Circle One)
(Circle One):
a. In the business section of a city?
Inside a building b. In the residential section of a city?
b. In a car c) In open countryside?
(. 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
Circle One)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? _miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
25. Did you observe the object through any of the following? No.
a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope
c. Windshield Yes g. - Theodolite No
d. d. Window glass Window glass Yes No h. Other h. Other
2In order that you can give as clear a picture as possible of what you saw, describe in your own words a common 2. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
At first: a large At first: a large orange. reet light
2 blocks away.
As it came closer: a half-dozen smaller lights in a row-like windows
Object moved and stopped at Object moyed and stopped at random- random- sometimes flashing much brigh- sometimes muohbrighm
ter than it had been.

Page 6
. Have you ever seen this, or a similar object before. If so give date or dates and location.
No
3. Was anyone else with you at the time you saw the object? (Circle One) Yes (No)
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
Please give the following information about yourself: 32. Please give the following information about yourself:
NAME
Last Name First Name Middlo Name Middle Name
ADD San Fra 94118 Calif.
Street City Zone State
TELEPHONE NUMBER AGE 17 SEX M
Indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object? .When and to whom did you report that you had seen the object?
aporox.2 approx. 2 12 66 Project Blue Book Project Blue Book
Day Month Year Safoi, Wash.

Pag 5
. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to
show how high the object was above the horizon (skylins) when you last saw it. Place an "A" on the compass
when you first saw it. Place a "B" on the compass where you last saw the object.
90° 75°
60
NW 1 NE
E
15B 15 B
A S5
N.B.:
DIRECTIONS UNCERTAIN- WAS WAL-
king on Rocklin Rd. Towards town.
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at ginning of the
path, a "B" at the end of the path, and sliun uny changes in direction during the course.
B. X (began to
A. return)
MEX horizon
L stood here
2. IF there was MORE THAN ONE object, then how many were there? _
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
- )

Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
No
31. Was anyone else with you at the time you saw the object? (Circle One) Yes (No)
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yourself: Please give the following information about yourself:
NAME NAME
Last Name First Name Middle Name
ADDRE San Fra Calif.
Street City Zone State
TELEPHONE NUMBER AGE 17 SEX M
Indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object?
approx.2 12 65 65 Project Blue Book
Day Month Year Safoi, Wash. Safoi. Nash.

12
Day Month Year
Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
I can't remember anything else. Previous letter sent
in what I can't remembe now
I hopu this information will help you your studies.
Being a semiaarian for the Catholic priesth any king
of publicity of publicity is not appreciate My parents and my
superiors school would not ove. I would ove appreciate it preciate
if you wouldn't if you wou write me further. niteme further.
If there is something I If there is something remember that haven't haven't mentioned
I will write I will write you
Respectfully,
)
.