EFTA00036581.pdf

Type

pdf

Source set

data-set-8

Original source

Extracted text

Inmate Is In: 
BP-A0292 
APR 16 
SPECIAL HOUSING UNIT RECORD 
U.S. DEPARTMENT OF JUSTICE 
FEDERAL BUREAU OF PRISONS 
Inmate Name: EPSTEIN, JEFFREY EDWARD 
Tearn/caseworker. 
NEW YORK MCC 
(Institution) 
Reg. No. 76318.054 
Regular Unit: 5UNT MGR. 
5 
Violation 
Date 
Time 
PENDING CLASSIFICATION 
2019-07-29 
12:21 
or Reason: 
Redd: 
 
Redd: 
Admittance 
Date 
Time 
Authorized: 
 
Rel.:  
 Ret.: 
Pertinent Informabon:  N/A 
Separation Information:  Nth 
Special Housing Unit Cell Numbs: Z04.206LAD 
Is Inmate on Medication: 
Y 
Medical Department Notified:  
Date 
Shift 
Meals 
SH 
Examise 
Out of cell time 
(Total minfirs) 
Comments 
Medical 
Staff Sign 
OIC Signature 
B 
D 
S 
OB-04-2019 Mum 
Y 
CS-04-2019 Day 
y 
osea-2019 Eve 
y 
1:6454019 mom 
y 
06-05.2019 Day 
y 
oseszoia 
CO.011.2019 
Eve 
Mom 
y 
y 
03-011.2019 Day 
Y 
06-062019 Eve 
y 
No 
Ce07.2019 Morn 
y 
IS07.2019 Day 
v 
Ce07.2019 Eve 
y 
No 
osee-zoia Mom 
y 
CO-08-2019 Day 
v 
osee-zoia 
126-094019 
Eve 
Mom 
y 
y 
CO494019 Day
y 
06-08-2019 Eve 
y 
Morn 
Day 
Eve 
AD 
AD Status 
DS: 
Y 
EXPLANATORYNOTES:Pertlnent Info: i e.. Epileptic. Diabetic; Suicidal; Assaultive: etc. Meas/SH: Shower - Yes (t): No (N); Refused (R)Out-of-Cell 
Time: (LL) Law Library,(LV) Legal Visit, (U) Unit Team, (P) Psychology. (E) Education, (H) Haircut, (C) Chapel, (R) Recreation, (X) Property Issue. (V) 
Visit (M) Medical, (C) Court, (O) Other - Yes (Y) if applicable / Enter Actual Time Pedod Start and End (i.e., 0930 - 1030 hrs) in Out of Cell Time Block. 
Medical: Medical providers will sign the segregation log each shift and the record sheet each time the inmate is seen by a medical provider. At a minimum. 
the record sheet must be signed at least once each day by the medical provider. Comments: i.e.. Conduct. Attitude. etc. Additional comments on reverse 
side must include date. signature. and title. OIC Signature: OIC must sign all record sheets each shift. (OIC - Unit Officer) 
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