EFTA00036582.pdf

Type

pdf

Source set

data-set-8

Original source

Extracted text

BP.A0292 
APR IS 
SPECIAL HOUSING UNIT RECORD 
U.S. DEPARTMENT OF JUSTICE 
FEDERAL BUREAU OF PRISONS 
NEW YORK MCC 
(Institution) 
Inmate Name: EPSTEIN, JEFFREY EDWARD 
Nog. No. 76318.054 
Teamtaseworker 
Regular Unit. 5UNT MGR 
Cell 5 
Violation 
Date 
Time 
PENDING CLASSIFICATION 
2019-07-29 
12:21 
or Reason' 
Reed: 
 
Reed: 
Admittance 
Date 
Time 
Authorized: 
 
Rel.:  
 Rel.:  
Pertinent Information:  N/A 
Separation Information: Nth 
Special Housing Unit Cell Number: 204.206E-0D 
Inmate Is In: 
Is Inmate on Medication: 
V
Date 
Shift 
Meals 
SH 
Exercise 
Out of cell time 
(total) 
Comments 
Medical 
Staff Sign 
0 10 Signature 
8 
D 
S 
Morn 
Day 
Eve 
07.29.2019 Morn 
v 
Day 
07.29.2019 Eve 
y 
N 
07.302019 Mom 
y 
07404019 Day 
Y 
N 
RP 
Sea 2nd page 
07404019 Eve 
Y 
No 
0741.2019 Morn 
y 
0741.2019 Day 
v 
y 
0&30i07900 
02:00 
Sea 2nd page 
0741.2019 
0&01.2019 
Eve 
Mom 
v 
y 
-
08.01.2019 Day 
v 
N 
Ref 
See 2rd page 
--
08.01.2019 Eve 
y 
No 
08.02.2019 Morn 
Y 
03424019 Day
Y 
Y 
No 
01:00 
See 2nd page 
26.02.2019 Eve 
v 
Na 
26.034019 Morn 
v 
26.034019 Day 
v 
06-034019 Eve 
Y 
N 
No 
DS: 
Medical Department Notified:  
AD 
AD Status 
EXPLANATORYNOTES:Pertinent Info: i e., Epileptic; Diabetic; Suicidal; Assaultive: etc. Meals/SH: Shower - Yes (Y): 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) 
(M) Medical. (C) Court. (0) Other - Yes (Y) if applicable / Enter Actual Time Period Stan and End (i.e., 0930 - 1030 hrs) in OW 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 …

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