BP.A0292
APR IS U.S. DEPARTMENT OF JUSTICE
SPECIAL HOUSING UNIT RECORD FEDERAL BUREAU OF PRISONS
NEW YORK MCC
(Institution)
Nog. No. 76318.054
Inmate Name: EPSTEIN, JEFFREY EDWARD
5UNT MGR 5
Teamtaseworker Regular Unit. Cell
Violation Date Time
PENDING CLASSIFICATION 2019-07-29 12:21
or Reason' Reed: Reed:
Admittance Date Time
Authorized: Rel.: Rel.:
N/A
Pertinent Information:
Separation Information: Nth
204.206E-0D AD
Special Housing Unit Cell Number: Inmate Is In: DS: AD Status
Is Inmate on Medication: V Medical Department Notified:
Out of cell time Medical
Date Shift Meals SH Exercise Staff Sign 0 10 Signature
8 D S (total) Comments
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 Eve y
0&01.2019 Mom v -
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
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 sign all record sheets each shift. (OIC • Unit Officer)
PDF Prescribed by P5270 This form replaces BP•292(52) dated AUG 2011.
EFTA00036582
Day shift comments:
07.30.2019 Health: Voices no medical complaints.
Day shift comments:
07.31.2019 Health: Voices no medical complaints.
Day shift comments:
08-01.2019 Health: Voices no medical complaints.
Day shift comments:
08-02-2019 Health. Voices no medical complaints.
EFTA00036583