APPENDIX J

EARLY WARNING REPORT FORM


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Date  

Time  

Zone  

Place  

Classification  

Duration  

Direction disappeared  

# Visual observers  

Radar?  

# Objects  

Size  

Shape  

Color  

Distance  

Motion  

Other features  

Weather  

Known traffic  

Observer--

Name  

Age  

Address  

Phone  

Occupation  

Reporter--

Name  

Age  

Address  

Phone  

Occupation  

Receiver--

 

Date  

Time  

Please fill in all possible blanks with relevant information. Use the back of this sheet for a running description of the event.

DRS -- 6/6/67 (Rev)

[[1335]]



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