From the top, they are:
1. Air Force Commendation Medal
2. Air Force Achievement Medal
3. Joint Meritorious Unit Award
4. Meritorious Unit Award
5. AF Outstanding Unit Award with Valor Device
6. AF Good Conduct Medal
7. National Defense Service Medal
8. Armed Forces Expeditionary Medal
9. Global War On Terrorism Expeditionary Medal
10. Global War on Terrorism Service Medal
11. Armed Forces Service Medal
12. AF Overseas Ribbon Short
13. AF Overseas Ribbon Long
14. Air Force Expeditionary Service Ribbon with Gold Border
15. AF Longevity Service
16. USAF NCO PME Graduate Ribbon
17. Small Arms Expert Marksmanship Ribbon
18. AF Training Ribbon
19. NATO Medal
The ones with oak leaves and stuff on them (devices) indicate that the wearer has been awarded them numerous times (one device per award). The gold V indicates valor.
That's a hell of a rack....