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Page 1221 Page | of 1 BP-A295.052 SPECIAL HOUSING UNIT REVIEW. U.S. DEPARTMENT OF JUSTICE BEL es FEDERAL BUREAU OF PRISONS ———————————————— Inmate Name: EPSTEIN, JEFFREY EDWARD Date Entered Special Housing: 07-10-2019 |. Subject: (2 or 3 Days) Reason for Placement: PENDING CAPTIANS REVIEW Date Reviewed 07-15-2019 3 Day Review Action Taken on the Above Date: Continue in Special Housing Unit Printed Name/Signature: by6): (DI YC) (To be done weekly in the inmate's absence, beginning after the in-person 7 day review, and continuing every week between each in-person 30 day review.) DATE | ACTION TAKEN 07-19-2019 | Continue in Special Housing Unit SIGNATURE bE) (DFC) lll. Subject: (7 or 30 Days) 7 Day Review Date inmate appeared for a Special Housing Review: Or Date inmate waived right to appear: 07-19-2019 01-01-111 Reviewing Authority: Review By (SRO): BMG} (DMF HC) Has been seen daily by Medical Staff- 4] Yes; LJ No Has been seen daily by responsible officer designated by Warden: wd Yes; | No Has received prescribed weekly exercise: J] Yes; [| No Proper documentation and justification in the Central File (Incident Report, DHO Report, copies of Spacial Housing Review Form): iV] Yes; L] No if no, why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housing status? wd Yes; J No Is there an additional assessment for every one month interval thereafter? i] Yes; | No if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: C] Released from Special Housing; iv] Continue in Special Housing Did inmate in Administrative Detention receive a written copy of staff's decision and the basis for the finding at each 30 day review? Vj Yes; CJ No if no, why not (Should be given provided institutional security not compromised)? Remarks: (Any change in the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive a copy of this form): Date of Next Review: 07-26-2019 Printed Name and Signature of Segregation Review Official or the Reviewing Authority and Date Signed: byG) (BMF NC) Recor VCoOpy This form replaces BP-295(52) dated January 1988 file:///C:/temp/shu/Epstein-Reno763 18-054 SRO_20190710-20190723.html 8/13/2019 DOJ-OGR- 00025426