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Page 1119 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD ee Inmate Name: EPSTEIN, JEFFREY EDWARD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Team/caseworker: 5UNT MGR} Regular Unit: Violation or Reason: Admittance Authorized:_ PENDING CLASSIFICATION Date Rec'd: 2019-07-29 Date Rel.: N/A Pertinent Information: ; : A Separation Information: LL Special Housing Unit Cell Number: corel (Institution) 76318-054 Reg. No. Time Rec'd: Time Rel.: Inmate Is In: Is Inmate on Medication: DS: AD AD Status Medical Department Notified: Date Shift Meals SH B/D |S Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature Morn Day Eve 07-29-2019 Morn | v Kb }G}; (bP MC) Day 07-29-2019 Eve ij N 07-30-2019 Morn Y (b\6); (oF WC) 07-30-2019 Day ve N | Ref See 2nd page 07-30-2019 Eve ¥ No 07-31-2019 | Morn ¥ 07-31-2019 | Day Y y 06:30/07:30 0 02:00 See 2nd page 07-31-2019 Eve Y 08-01-2019 | Morn ¥ 08-01-2019 Day Y N Ref See 2nd page 08-01-2019 | Eve Y No 08-02-2019 | Morn ¥ Day Y ¥ No 01:00 | See 2nd page 08-02-2019 | Eve Y No 08-03-2019] Morn | 08-03-2019 | Day Y¥ 08-03-2019 | Eve y| on. |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) Visit, (M) Medical, (C) Court, (O) Other — Yes (Y) if applicable / Enter Actual Time Period 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) PDF Prescribed by P5270 This form replaces BP-292(52) dated AUG 2011. DOJ-OGR- 00025341