PROJECT BLUE BOOK

4. NUMBER OF OBJECTS
One This is the 22nd UFO t the
5. LENGTH OF OBSERVATION 11. SUMMARY
BRIEF AND ANALYSIS
15-20 minutes •
6. TYPE OF OBSERVATION SEE CASE FILES
Groud-Visual
7. COURSE
West
. PHOTOS
Yes
No
. PHYSICAL VIDENCE
0 Yos
XNo
FORM
FTD SEP 63 0-329 (TDE) Previous editlons of this form mey be used.

AFR 80-17(C1)
27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE,
ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
PAGE 9 OF 9 PAGES

AFR80-17(C1)
A. NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSC. PLACE AN ·A° ON THE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. FLACE A *B° ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
: ..
N
NNW NNE
NW NE
WNW ENE
A
B W
wSW ESE
SW SE
sSW SSE
7. IN THE SKETCH BELOW, PLACE AN *A* AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A *B* AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE *A° AND B° WITH A LINE TO APPROXIMATE THE POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE *A° AND *B° WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN *A° AND "B*. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT MOVEMENT OF THE PHENOMENON BETWEEN "A° AND "B*. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
B
1
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2
AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHEMOMENA QUESTIONMAIRE BUDGET BUREAU APPROVAL
NUMBER 21-R250
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUCH INFORMATION
ANSWER ALL THE INFORMATIO YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR NECMO CONCLUSIONS WITHOUT
YOUR PERMISSIGN. INVESTIGATOR FOR FOR WARDING TO (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, W AFR BO-i7. (IF ADDITIONAL SHEETS ARE NEE
ATTACH SECURELY TO THI FORM OR ANNOTATE WITH YOUR NAME FOR ID TIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY. 28 MontH NovemberYear 1968
2. WH T DID YOU T PHENOMENON 7
HOUR 5 MINUTES_25 A.M. P.M.
3. WHAT TIM DID U L AS T S1 G E P H EN OM ENON?
HOUR 5 MINUTES_40 A.M. StP.M.
4. TIME ZONE DAYL IGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON' IF IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
Were travelling on Highway 60 approx. 10 miles east of
Ontario, California. We were about three (3) miles from the
Calif. Air National Calif. Air Natlonal Guard Guard and and about about same distanec from the same aistanec Irom the
Ontario Airport. Ontario Airport. We wer We were travelling at 65 mph avelling at 65 in car going
east-southwest.
: ! DY Y
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN *A ON THE CURVED LINE POINT SHOWN IN THE SKETCH. PLACE AN *A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE. WHEN FIRST SEEN. PLACE A 3 ON THE SAME CURVED LINE TO 3' ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90
I 8
I
I
I
| A
1 B
15
-
L
OBSERVER
-
AF FORM 117
A UG 67 on thi ogter

AFR 80-17(C1)
1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
.
11. CONDITIONS (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LOw fluffy) FOG OR MIST
TWILIGHT CIRRUs CLOuDS (High fleecy or Herring- HEAVY RAIN
x NIGHT bbone) LIGHT RAIN OR DRIZZLE
x CLEAR NIMBUS CLOUDS( (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG x NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE x BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO UNKNOWN
x MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLE? YES NO. IF .YES. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (NeW noon)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
It was naturally light-main source-moon and headlights
some street-highway overhead lights some street-highway overhead lights
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS F-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT. HER EDGES WERE SHARPOR IZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS OICATE OBJECTS, LIKE STARS, A LIGHT OR
OTHER Obje light which seemed to
rotate on ulsation. Only bright,
white light was sign lights When
first seen-object west and at
approx. 6-800 miles No detail seen-
just the pulsating light-did object
in field of view earec planet orighbness-as
bright as moon( visib the northwest
of object-moor the north.
PAGE 4 OF 9 PAGES

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check appropriate b blocks.)
X OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION N OF CITY
IN CAR AS DRIVER AS PASSENGER X IN OPEN COUNTRYSIDE
IN BOAT X NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
. OTHER FLYING SOVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST YOU MOVING? 1
NORTH X EAST approximately 60-65 mph
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST ]YES ZNO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR S5AND6
No-the object steadily moved on path already described-we observed
object from all windows-all the way around the car-was not reflection
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER YO
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN
Car was '6g Malibu Chevrolet-r oad: highway-p *
flat-mountain range all sides
HOW MUCH OTHER TRAFFIC WAS THERE? HOW MUCH OTHER TRAFFIC WAS THERE?
Light Light
DID YOU DID YOU NOTICE ANY AIRPLANES? NOTICE ANY AIRPLANES? X YES NO. NO. IF YES.DESCRIBE WHEN IF *YES,DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON ANCWHERE SIGHTING THE PHENOMENON ANC WHERE THEY WERE IN T THEY WERE IN THESKY RELATIVE TO THE POSITION OF THE PHENOMENON.
Three aircraft (looked like jet t Three aircraft (looked like type) circled object and one
turned and seemed turned and seemed to to dive dive at object and then pulled up. Aircraft
were in area most of time when objct were in area most of time when objct bserved. served.
9. HOW LONG WAS THE THE PH ENOMENON ENO MENON IN SIGHT?
LENGTH OF LENGTH TIME 15-20 CERTAIN CERTAIN OF TIME NOT VERY SURE
15-20 minutes
x FAIRLY CERTAIN JUST A GUESS JUST A GUESS
HOW WAS TIME DETERMINED? wrist watch
WAS THE PHENOMENON IN SIGHT CONTIN UOUSLY? YES NO. IF *NO. INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMEN DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAD.
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

AFR 80-17(C1)
15. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
JLT JCT
*
-
'
1
Hohndy (o Hiln-y (co
ouil postion ou postion
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET M EABAN
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
about one/half
PAGE 6 OF 9 PAGES

AFR 80-17(C1)
13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE? X
STAND STILL AT ANYTIME X
SUDDENLY SPEED UP AND RUN AWAY? x
BREAK UP IN PARTS AND EXPLODE? X
CHANGE COLOR? X
GIVE OFF' SMOKE? X
CHANGE BRIGHTNESS? X
CHANGE SHAPE? X
FLASH IOR FLICKER? X
DISAPPEAR AND REAPPEAR? X
SPIN LIKE A TOP? X
MAKE A NOISE? x
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION T PHENOMENON? When I first saw object-it appeared
as the planet Jupiter-it was stationary and then seemed to rotate
and started moving quite fast. then saw aircraft come around it
and at it-it seemed to outdistance aircraft. It appeared the e very
same from all angles. It changed altitude twice quite suddenly-
went right up and then came back to mer position.
Al
I
A. HOW DID IT FINALLY DISAPPEAR?
Went over Went over horizon horizon
MAAS
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LI CLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO. IF *YES."DESCRIBE.
Object moved in fromt of ountains at one time-it still
appeared as the same.
PAGE 5 OF 9 PAGES

1
AFR 80-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. IF *YESGIVE DATE AND
LOCATION. eet
September 22,1968
Oceanside,Californis
92054
23. WAS ANYONE WITH YOU TOOR
YES NO.
LIST ADDRESSES Mr.
Mrs
MR.
all at same addres
Oceanside,California
92054
24. GIVE THE FOLLOWING INFO RMATION ABOUT YOURSELF
ADDRESS (Street, City. State and Zip 2054
AGE
17 x MALE FEMALE
INDICATE ADDITIONAL INFORM N INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
4 Thms is the 22nd unidentified object This is the 22nd unidentified object that I have seen that I have seen in in
the past five years-however, all have been different but years owever, all have been different but two. two.
I do not I do not know what it know what is-but it was not like any type of is-but it v was not like any type of aircraft aircraft
that I have seen before.
-
MM L
-
*
25. WHEN AND TO WHOM DID YOU REPORT THAT HAD SIGH ED THIS PHENOMENON?
NAME DAY MONTH YEAR
26. DATE YOU COM THIS S QUESTIONNAIRE.
29 MONTH November 1968
DAY_ YEAR
PAGE 8 OF 9 PAGES

AFR 80-17(C1)
17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION
- TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
x EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
x WINDSHIELD TELESCOPE
X SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. ORDINARILY WEAR GLASSES? YESNO 9. DO YOU USE READING GLASSES? YES NO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCEOF THE
PHENOMENON? GIVE E ESTIMATE OF SPEED_BOO-1OOO PHENOMENON1
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW. DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON,
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE.SIMILARIT
COMMON OBJECT AND WHAT a p
the only thing escription. However-.Tupiter was
in another portic object
( (
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT OURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? D YES NO. IF *YES,* DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES x NO.
IF *YES. DESCRIBE.
(
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