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BP-A0308 ADMINISTRATIVE DETENTION ORDER U.S. DEPARTMENT OF JUSTICE JAN 17 FEDERAL BUREAU OF PRISONS NEWYORK MCC Institution Date/Time: 07-10-2019 TO: Special Hawsing Unit Officer SUBJECT | Placement of EPSTEIN, JEFFERY . Reg. No, 7-10-2019 . in Administrative Detention ___(a) Is pending an investigation for a violation of Bureau regulations; (b) Is pending an SIS investigation, (c) Is pending investigation or trial fora criminal act; (d) Istobe admitted to Administrative Detention (1) Since the inmate has requested admission for protection: | hereby request placement in Administrative Detention for my own protection. Inmate Signature/Register No.: Staff Witness Printed Name Signature: (2) Since a serious threat exists to individual's safety as perceived by staff, although person has not requested admission; referral of the necessary information will be forwarded for an appropriate hearing by the SRO (e) Is pending transfer or is in holdover status during transfer. vi Is pending classification; or (g) Is terminating confinement in Disciplinary Segregation and has been ordered into Administrative Detention by the Warden's designee. It is this Correctional Supervisors decision based on all the circumstances that the above named inmate's continued presence in the general population poses a serious threat to life, property, self, staff, other inmates, orto the security or orderly running of the institution because” PENDING CLASSIFICATION — Therefore, the above named inmate is to be placed in Administrative Detention until further notice. The inmate received a copy of this Order on (date / time) tte “CF StaffWitness Signature/Printed Name Sa. ay Date _2— jo ? Supervisor 24 hour review of placement: Signature/Printed name “In the case of DHO action. reference to that order is sufficient. In other cases, the Correctional supervisor will make an independent review and decision, which is documented here. Record Copy - Inmate Concemed (not necessary if placement is a result of holdover status); Copy - Captain; Copy - Unit Manager; Copy - Operati ~ Administrative Detention Unit; Copy —- Psychology; Copy - Central File PDF Prescribed by P§270 (Replaces BP-A0308 of JAN 88.) 2 DOJ-OGR-00024470