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Page 1124 BP-A0292 APR 16 U.S. DEPARTMENT OF JUSTICE SPECIAL HOUSING UNIT RECORD FEDERAL BUREAU OF PRISONS ee (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Team/caseworker: UNASSIGNED ADMISGKON Regular Unit: ia PENDING CLASSIFICATION Dats ine or Reason: 2019-07-10 15:26 Rec'd: . Rec'd: Admittance Date Time Rel.: Rel.: Authorized: Pertinent Information: in ; : A Separation Information: LL . D Special Housing Unit Cell Number: ee Inmate Is In: DS: i AD Status Is Inmate on Medication: i Medical Department Notified: ; Meal Out of cell time Medical Date Shift _Nieals SH | Exercise Staff Sign OIC Signature nal Bi (Total min/hrs) Comments <| 0) DMG): (BTC) 07-14-2019 | Morn Ere ey te 07-14-2019 | Day ¥ N | No 07-14-2019 | Eve Tol we line 07-15-2019 Morn Y b}6); (DHT WC) 07-15-2019 | Day ¥ Y | No 07:00 See 2nd page 07-15-2019 Eve Y No 07-16-2019 Morn Y 07-16-2019 | Day ar See 2nd page o7-16-2019| Eve ¥ No O7-17-2019 | Morn ¥ 07-17-2019) Day ¥ y | Ref 01:00 See 2nd page 07-17-2019 | Eve Y No 07-18-2019 Morn ¥ 07-18-2019 | Day Y N | Ref See 2nd page o7-18-2019 | Eve Y No 07-19-2019 | Morn ¥ “07-19-2019 Day Y Y 00:15 See 2nd page 07-19-2019 | Eve ¥ 07-20-2019] Morn | ¥ 07-20-2019 | Day Y¥ o7-20-2019| 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- 00025346