EFTA00036587.pdf

Type: pdf
Source set: data-set-8
Extracted text

SPAM 
APR 16 
SPECIAL HOUSING UNIT RECORD 
U.S. DEPARTMENT OF JUSTICE 
FEDERAL BUREAU OF PRISONS 
NEW YORK MCC 
(Institution) 
Inmate Name: EPSTEIN, JEFFREY EDWARD 
Reg. ese. 76318.054 
Teamtaseworker UNASSIGNED ADMISSION 
 
Regular UM . Ma:M. 
UNIT MANAGER 
Cell' MO 
' 
 
Violation 
Date 
Time 
PENDING CLASSIFICATION 
2019-07-07 
19:20 
or Reason: 
Reed: 
 
Real:
AdmMance 
Date 
Time 
Authorized: 
 
Rel.:  
 Rel.:  
Pertinent Information:  N/A 
Separation Information: NIA 
Special Housing Unit Cell Number: Z05-124 LAD 
Inmate Is In: 
Is Inmate on Medication: 
N
Date 
Shift 
Meals 
SH 
Exercise 
Out of cell lime 
(total) 
Comments 
Medical 
Staff Sign 
OIC Signature 
B 
D 
S 
Morn 
Day 
Eve 
0745.2019 Morn 
v 
Day 
Eve 
Morn 
Day 
Eve 
Morn 
Day 
07.114019 
Eve 
Mom 
Y 
07.11.2019 Day 
Y 
N 
Ref 
See 2nd page 
07.11.2019 Eve 
y 
07.124019 MOM 
Y 
07.124019 Day
y 
an 2nd page 
07.124019 Eve 
y 
07.114019 Morn 
v 
a
.-
07.134019 Day 
v 
07.11.2019 Eve 
v 
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 Ubrary,(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 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 sign all record sheets each shift. (OIC • Unit Officer) 
PDF 
Prescribed by P5270 
This tom replaces BP•292(52) dated AUG 2011. 
EFTA00036587


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