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Page 3316 Form 583 Report of Incident Incident #: NYM-19- Submitted By: N' Diaye, L. 0 Date/Time Of Incident: 8/10/2019 6:33 AM 082 Name: EPSTEIN, JEFFREY Medical Attention Required: Outside Use of Force (per inmate): No Reg #: 76318054 Role: Not Known Weapon (per Inmate): No Chemical Used (per inmate): No CIMS: No STG: Yes Restraints (per Inmate): Escort Only Death (per Inmate): No Section 3: Others involved Person Type: Staff Death: No Name: Medical Attention Required: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No pal Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No | , Name: [°° 0" Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No : A _ Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury - Staff Injury by Inmate: No Sexual Assault: No | Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disserninat attribution, to active Law Enforcement, OOD, or U-S. Intelligence Agencies. This document, or any segment/attachme nat be released without the approval of the Bureau of Prisons ta any media sources, any non-law enforcement entity, public or these without a “need to know." It contains inform Privacy Act (5 U.S.C. 552). 2 af 3 Injury Category: Fatal Injury ed, with ropar nt therpof, may the general ation that may be exempt from public release under the provisions of the DOJ-OGR-00026905