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Document BP-A0292

AI Analysis

Summary: The document contains Special Housing Unit Records for Jeffrey Epstein, detailing his daily activities, meals, and medical checks during his detention at MCC New York from July to August 2019. The records show variations in his out-of-cell time and interactions with medical staff. The document is significant for understanding the conditions of Epstein's detention and the monitoring he received.
Significance: This document provides detailed records of Jeffrey Epstein's detention conditions and activities while in the SHU at MCC New York, potentially relevant to investigations into his treatment and circumstances surrounding his death.
Key Topics: Jeffrey Epstein's detention and housing in the Special Housing Unit (SHU) at the Metropolitan Correctional Center (MCC) in New York Daily logs of Epstein's activities, meals, and out-of-cell time Medical checks and monitoring during his detention
Key People:
  • Jeffrey Epstein - Inmate (Reg. No. 76318-054)
Document Type
Record
Date
APR 16
Pages
14
Folder
IMAGES009, IMAGES010
Has Handwriting
Yes

Full Text

BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION Regular Unit: 5UNT MGR EXT-101 Cell: 5 Violation or Reason: N/A Date Rec'd: N/A Admittance Authorized: N/A Date Rel.: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: H01-001L Inmate is In: N/A DS: N/A AD Status N/A Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 07-21-2019 Morn Y Y 07-21-2019 Day Y Y 07-21-2019 Eve Y Y 07-22-2019 Morn Y Y Y No 01:00 07-22-2019 Day Y Y 07-22-2019 Eve Y Y EXPLANATORY NOTES: 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-00024610 --- PAGE BREAK --- BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: Regular Unit: 5UNT MGR EXT Cell: 5 Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Authorized: N/A Date Rel: N/A Time Rel: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z04-206LAD Inmate Is In: N/A DS: N/A AD Status Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 08-04-2019 Morn Y Y 08-04-2019 Day Y Y 08-04-2019 Eve Y Y 08-05-2019 Morn Y Y 08-05-2019 Day Y Y 08-05-2019 Eve Y Y 08-06-2019 Morn Y Y 08-06-2019 Day Y Y 08-06-2019 Eve Y Y No 08-07-2019 Morn Y Y 08-07-2019 Day Y Y 08-07-2019 Eve Y Y No 08-08-2019 Morn Y Y 08-08-2019 Day Y Y 08-08-2019 Eve Y Y 08-09-2019 Morn Y Y 08-09-2019 Day Y Y 08-09-2019 Eve Y Y EXPLANATORY NOTES: 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) Prescribed by P5270 This form replaces BP-292(52) dated AUG 2011. DOJ-OGR-00024613 --- PAGE BREAK --- BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION Regular Unit A&O UNIT MANAGER Cell: A&O Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Authorized: N/A Date Rel.: N/A Time Rel.: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z05-124LAD Inmate Is In: N/A DS: N/A AD Status Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature Morn B D S 07-08-2019 Morn Y (b)(7)(A) Day Eve 07-11-2019 Morn Y (b)(6), (b)(7)(A), (b)(7)(C) Day Y N Ref See 2nd page Eve Y 07-12-2019 Morn Y See 2nd page Day Y Eve Y 07-13-2019 Morn Y Day Y Eve Y EXPLANATORY NOTES: 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 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-00024606 --- PAGE BREAK --- BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION Regular Unit: A&O Unit Manager Cell: A&O Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Authorized: N/A Date Rel.: N/A Time Rel.: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z05-124LAD Inmate is in: N/A DS: N/A AD Status Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 07-14-2019 Morn Y Y N No 07-14-2019 Day Y N No 07-14-2019 Eve Y N Y N No (b)(7)(A) (b)(7)(C) 07-15-2019 Morn Y Y No 01:00 See 2nd page 07-15-2019 Day Y Y No 07-15-2019 Eve Y N No 07-16-2019 Morn Y Y See 2nd page 07-16-2019 Day Y Y No 07-16-2019 Eve Y Y See 2nd page 07-17-2019 Morn Y Y Ref 01:00 See 2nd page 07-17-2019 Day Y Y Y No 07-17-2019 Eve Y Y No 07-18-2019 Morn Y Y Ref See 2nd page 07-18-2019 Day Y N Y No 07-18-2019 Eve Y Y See 2nd page 07-19-2019 Morn Y Y Y 00:15 See 2nd page 07-19-2019 Day Y Y Y 07-19-2019 Eve Y N Y No 07-20-2019 Morn Y Y N No 07-20-2019 Day Y Y 07-20-2019 Eve Y N Y N No EXPLANATORY NOTES: 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) Prescribed by P5270 This form replaces BP-292(52) dated AUG 2011. DOJ-OGR-00024608 --- PAGE BREAK --- BP-A0292 APR 15 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: Regular Unit: 5UNT MGR UNIT EXT UNIT Cell: 5 Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Authorized: N/A Date Rel.: N/A Time Rel.: N/A Pertinent Information: N/A Separation Information: N/A Z04-206LAD Inmate Is In: N/A DS: N/A AD Status Special Housing Unit Cell Number: Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 07-29-2019 Morn Y N/A N/A N/A N/A N/A N/A N/A WBU (M7 (N/A) (H7)MCI 07-29-2019 Day 07-29-2019 Eve Y N N/A N/A N/A N/A N/A 07-30-2019 Morn Y N/A N/A N/A N/A N/A N/A See 2nd page 07-30-2019 Day Y N Ref 07-30-2019 Eve Y No 07-31-2019 Morn Y N/A N/A N/A N/A N/A N/A See 2nd page 07-31-2019 Day Y Y 05:30/07:30 O 02:00 See 2nd page 07-31-2019 Eve Y No 08-01-2019 Morn Y N/A N/A N/A N/A N/A N/A See 2nd page 08-01-2019 Day Y N Ref 08-01-2019 Eve Y No 08-02-2019 Morn Y N/A N/A N/A N/A N/A N/A See 2nd page 08-02-2019 Day Y Y No 01:00 See 2nd page 08-02-2019 Eve Y No 08-03-2019 Morn Y N/A N/A N/A N/A N/A N/A 08-03-2019 Day Y N 08-03-2019 Eve Y N No EXPLANATORY NOTES: 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 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-00024611 --- PAGE BREAK --- Page 997 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: _____________________________________ Regular Unit: _______ 5UNT MGR (b)(6); (b)(7)(C) XT (b)(6); (b)(7)(C) Cell: 5 Violation or Reason: N/A Date Rec'd: N/A Admittance Authorized: N/A Date Rel.: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z04-206LAD Inmate Is In: N/A DS: N/A AD Status Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature 08-04-2019 Morn Y Y 08-04-2019 Day Y Y 08-04-2019 Eve Y Y 08-05-2019 Morn Y Y 08-05-2019 Day Y Y 08-05-2019 Eve Y Y 08-06-2019 Morn Y Y 08-06-2019 Day Y Y 08-06-2019 Eve Y No 08-07-2019 Morn Y Y 08-07-2019 Day Y Y 08-07-2019 Eve Y No 08-08-2019 Morn Y Y 08-08-2019 Day Y Y 08-08-2019 Eve Y Y 08-09-2019 Morn Y Y 08-09-2019 Day Y Y 08-09-2019 Eve Y Y Morn Day Eve EXPLANATORY NOTES: 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 Time (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-00025241 --- PAGE BREAK --- Page 1117 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: ____________________ Regular Unit: ____________________ SUNT MGR EXT Cell: 5 Violation or Reason: PENDING CLASSIFICATION Date: 2019-07-29 Time: 12:21 Rec'd: - Rec'd: - Admittance Authorized: (b)(6); (b)(7)(C) Date: ____________________ Rel.: ____________________ Time: ____________________ Rel.: ____________________ Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z04-206LAD Inmate Is In: DS: AD AD Status: ____________________ Is Inmate on Medication: Y Medical Department Notified: Y Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 08-04-2019 Morn Y 08-04-2019 Day Y 08-04-2019 Eve Y 08-05-2019 Morn Y 08-05-2019 Day Y 08-05-2019 Eve Y 08-06-2019 Morn Y 08-06-2019 Day Y 08-06-2019 Eve Y No 08-07-2019 Morn Y 08-07-2019 Day Y 08-07-2019 Eve Y No 08-08-2019 Morn Y 08-08-2019 Day Y 08-08-2019 Eve Y 08-09-2019 Morn Y 08-09-2019 Day Y 08-09-2019 Eve Y Morn Day Eve EXPLANATORY NOTES: 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 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-00025339 --- PAGE BREAK --- Page 1119 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: _____________________________________ Regular Unit: _______ SUNT MGR EXT _______ Cell: 5 Violation or Reason: PENDING CLASSIFICATION Date: 2019-07-29 Time: 12:21 Admittance Authorized: (b)(6); (b)(7)(C) Date: _______ Time: _______ Pertinent Information: N/A Rel.: _______ Rel.: _______ Separation Information: N/A Special Housing Unit Cell Number: Z04-206LAD Inmate Is In: _______ DS: _______ AD _______ AD Status Is Inmate on Medication: Y Medical Department Notified: Y Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature Morn B D S Day Eve 07-29-2019 Morn Y (b)(6); (b)(7)(C) Day 07-29-2019 Eve Y N 07-30-2019 Morn Y (b)(6); (b)(7)(C) Day Y N Ref See 2nd page 07-30-2019 Eve Y No 07-31-2019 Morn Y Day Y Y 06:30/07:30 O 02:00 See 2nd page 07-31-2019 Eve Y No 08-01-2019 Morn Y Day Y N Ref See 2nd page 08-01-2019 Eve Y No 08-02-2019 Morn Y Day Y Y No 01:00 See 2nd page 08-02-2019 Eve Y No 08-03-2019 Morn Y Day Y 08-03-2019 Eve Y N No EXPLANATORY NOTES: 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. 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 --- PAGE BREAK --- Page 1122 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION Regular Unit: SUNT MGR EXT Cell: 5 Violation or Reason: PENDING CLASSIFICATION Date: 2019-07-10 Time: 15:26 Admittance Authorized: [redacted] Date: Rel.: Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: H01-001L Inmate Is In: DS: AD Is Inmate on Medication: N Medical Department Notified: Y AD Status: Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature 07-21-2019 Morn Y Y 07-21-2019 Day Y Y 07-21-2019 Eve Y Y 07-22-2019 Morn Y Y 07-22-2019 Day Y Y Y No 01:00 07-22-2019 Eve Y Y EXPLANATORY NOTES: 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 Time (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-00025344 --- PAGE BREAK --- Page 1124 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION Regular Unit: A&O UNIT MANAGER (b)(6); (b)(7)(C) Cell: A&O Violation or Reason: PENDING CLASSIFICATION Date Rec'd: 2019-07-10 Time Rec'd: 15:26 Admittance Authorized: (b)(6); (b)(7)(C) Date Rel.: Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z05-124LAD Inmate Is In: DS: AD AD Status Is Inmate on Medication: N Medical Department Notified: Y Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature 07-14-2019 Morn Y Y No (b)(6); (b)(7)(C) 07-14-2019 Day Y N No 07-14-2019 Eve Y N No 07-15-2019 Morn Y Y No (b)(6); (b)(7)(C) 07-15-2019 Day Y Y No 01:00 See 2nd page 07-15-2019 Eve Y No No 07-16-2019 Morn Y Y See 2nd page 07-16-2019 Day Y Y See 2nd page 07-16-2019 Eve Y No No 07-17-2019 Morn Y Y Ref 01:00 See 2nd page 07-17-2019 Day Y Y Ref 01:00 See 2nd page 07-17-2019 Eve Y No No 07-18-2019 Morn Y Y See 2nd page 07-18-2019 Day Y N Ref See 2nd page 07-18-2019 Eve Y No No 07-19-2019 Morn Y Y 00:15 See 2nd page 07-19-2019 Day Y Y 00:15 See 2nd page 07-19-2019 Eve Y Y 07-20-2019 Morn Y Y 07-20-2019 Day Y Y 07-20-2019 Eve Y N No EXPLANATORY NOTES: 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 --- PAGE BREAK --- Page 1127 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION A&ON: (b)(6); (b)(7)(C) Regular Unit: UNIT MANAGER (b)(6); (b)(7)(C) Cell: A&O Violation or Reason: PENDING CLASSIFICATION Date Rec'd: 2019-07-07 Time Rec'd: 19:20 Admittance Authorized: (b)(6); (b)(7)(C) Date Rel.: Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z05-124LAD Inmate Is In: DS: AD AD Status Is Inmate on Medication: N Medical Department Notified: Y Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature Morn B D S Day Eve 07-08-2019 Morn Y (b)(6); (b)(7)(C) Day Eve Morn Day Eve Morn Day Eve 07-11-2019 Morn Y 07-11-2019 Day Y N Ref See 2nd page (b)(6); (b)(7)(C) 07-11-2019 Eve Y 07-12-2019 Morn Y 07-12-2019 Day Y See 2nd page (b)(6); (b)(7)(C) 07-12-2019 Eve Y 07-13-2019 Morn Y 07-13-2019 Day Y 07-13-2019 Eve Y EXPLANATORY NOTES: 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-00025349 --- PAGE BREAK --- Page 2696 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION A&O (b)(6); (b)(7)(C) UNIT MANAGER (b)(6); (b)(7)(C) Cell: A&O Regular Unit: Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Authorized: N/A Date Rel.: N/A Time Rel.: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z05-124LAD Inmate Is In: N/A DS: N/A AD Status Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 07-14-2019 Morn Y N No 07-14-2019 Day Y N No 07-14-2019 Eve Y N No (b)(6); (b)(7)(C) 07-15-2019 Morn Y Y No 01:00 See 2nd page 07-15-2019 Day Y Y 07-15-2019 Eve Y N 07-16-2019 Morn Y Y 07-16-2019 Day Y See 2nd page 07-16-2019 Eve Y Y No 07-17-2019 Morn Y Y Ref 01:00 See 2nd page 07-17-2019 Day Y Y 07-17-2019 Eve Y Y No 07-18-2019 Morn Y N Ref 07-18-2019 Day Y N See 2nd page 07-18-2019 Eve Y Y No 07-19-2019 Morn Y Y Y 00:15 See 2nd page 07-19-2019 Day Y Y 07-19-2019 Eve Y Y 07-20-2019 Morn Y Y 07-20-2019 Day Y N 07-20-2019 Eve Y N N EXPLANATORY NOTES: 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-00026352 --- PAGE BREAK --- Page 3125 BP-A0292 APR 16 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS SPECIAL HOUSING UNIT RECORD NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION Regular Unit: A&C UNIT MANAGER Cell: A&O Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Date Rel: N/A Authorized: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z05-124LAD Inmate Is In: N/A DS: N/A AD Status Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature Mom Day Eve 07-08-2019 Mom Y Day Eve Mom Day Eve Mom Day Eve 07-11-2019 Mom Y 07-11-2019 Day Y N Ref See 2nd page 07-11-2019 Eve Y 07-12-2019 Mom Y 07-12-2019 Day Y 07-12-2019 Eve Y See 2nd page 07-13-2019 Mom Y 07-13-2019 Day Y 07-13-2019 Eve Y EXPLANATORY NOTES: Pertinent Info: i.e., Epileptic; Diabetic; Suicidal; Assautive; 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) Prescribed by P5270 This form replaces BP-292(52) dated AUG 2011. PDF DOJ-OGR-00026765 --- PAGE BREAK --- Page 3127 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker UNASSIGNED ADMISSION Regular Unit: A&C UNIT MANAGER A&O Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Authorized: N/A Date Rel: N/A Time Rel: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number Z05-124LAD Inmate Is In: N/A DS: N/A AD Status N/A Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 07-14-2019 Mom Y Y N No 07-14-2019 Day Y N No 07-14-2019 Eve Y N No 07-15-2019 Mom Y Y Y No 01:00 See 2nd page 07-15-2019 Day Y Y No 07-15-2019 Eve Y Y No 07-16-2019 Mom Y Y 07-16-2019 Day Y See 2nd page 07-16-2019 Eve Y 07-17-2019 Mom Y Y Ref 01:00 See 2nd page 07-17-2019 Day Y Y 07-17-2019 Eve Y No 07-18-2019 Mom Y Y Ref See 2nd page 07-18-2019 Day Y N Ref 01:00 See 2nd page 07-18-2019 Eve Y No 07-19-2019 Mom Y Y Y 00:15 See 2nd page 07-19-2019 Day Y 07-19-2019 Eve Y 07-20-2019 Mom Y Y 07-20-2019 Day Y N No 07-20-2019 Eve Y N No EXPLANATORY NOTES: 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) Prescribed by P5270 This form replaces BP-292(52) dated AUG 2011. PDF DOJ-OGR-00026767

Individual Pages

Page 1 - DOJ-OGR-00024610
BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION Regular Unit: 5UNT MGR EXT-101 Cell: 5 Violation or Reason: N/A Date Rec'd: N/A Admittance Authorized: N/A Date Rel.: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: H01-001L Inmate is In: N/A DS: N/A AD Status N/A Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 07-21-2019 Morn Y Y 07-21-2019 Day Y Y 07-21-2019 Eve Y Y 07-22-2019 Morn Y Y Y No 01:00 07-22-2019 Day Y Y 07-22-2019 Eve Y Y EXPLANATORY NOTES: 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-00024610
Page 2 - DOJ-OGR-00024613
BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: Regular Unit: 5UNT MGR EXT Cell: 5 Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Authorized: N/A Date Rel: N/A Time Rel: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z04-206LAD Inmate Is In: N/A DS: N/A AD Status Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 08-04-2019 Morn Y Y 08-04-2019 Day Y Y 08-04-2019 Eve Y Y 08-05-2019 Morn Y Y 08-05-2019 Day Y Y 08-05-2019 Eve Y Y 08-06-2019 Morn Y Y 08-06-2019 Day Y Y 08-06-2019 Eve Y Y No 08-07-2019 Morn Y Y 08-07-2019 Day Y Y 08-07-2019 Eve Y Y No 08-08-2019 Morn Y Y 08-08-2019 Day Y Y 08-08-2019 Eve Y Y 08-09-2019 Morn Y Y 08-09-2019 Day Y Y 08-09-2019 Eve Y Y EXPLANATORY NOTES: 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) Prescribed by P5270 This form replaces BP-292(52) dated AUG 2011. DOJ-OGR-00024613
Page 1 - DOJ-OGR-00024606
BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION Regular Unit A&O UNIT MANAGER Cell: A&O Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Authorized: N/A Date Rel.: N/A Time Rel.: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z05-124LAD Inmate Is In: N/A DS: N/A AD Status Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature Morn B D S 07-08-2019 Morn Y (b)(7)(A) Day Eve 07-11-2019 Morn Y (b)(6), (b)(7)(A), (b)(7)(C) Day Y N Ref See 2nd page Eve Y 07-12-2019 Morn Y See 2nd page Day Y Eve Y 07-13-2019 Morn Y Day Y Eve Y EXPLANATORY NOTES: 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 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-00024606
Page 1 - DOJ-OGR-00024608
BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION Regular Unit: A&O Unit Manager Cell: A&O Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Authorized: N/A Date Rel.: N/A Time Rel.: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z05-124LAD Inmate is in: N/A DS: N/A AD Status Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 07-14-2019 Morn Y Y N No 07-14-2019 Day Y N No 07-14-2019 Eve Y N Y N No (b)(7)(A) (b)(7)(C) 07-15-2019 Morn Y Y No 01:00 See 2nd page 07-15-2019 Day Y Y No 07-15-2019 Eve Y N No 07-16-2019 Morn Y Y See 2nd page 07-16-2019 Day Y Y No 07-16-2019 Eve Y Y See 2nd page 07-17-2019 Morn Y Y Ref 01:00 See 2nd page 07-17-2019 Day Y Y Y No 07-17-2019 Eve Y Y No 07-18-2019 Morn Y Y Ref See 2nd page 07-18-2019 Day Y N Y No 07-18-2019 Eve Y Y See 2nd page 07-19-2019 Morn Y Y Y 00:15 See 2nd page 07-19-2019 Day Y Y Y 07-19-2019 Eve Y N Y No 07-20-2019 Morn Y Y N No 07-20-2019 Day Y Y 07-20-2019 Eve Y N Y N No EXPLANATORY NOTES: 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) Prescribed by P5270 This form replaces BP-292(52) dated AUG 2011. DOJ-OGR-00024608
Page 1 - DOJ-OGR-00024611
BP-A0292 APR 15 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: Regular Unit: 5UNT MGR UNIT EXT UNIT Cell: 5 Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Authorized: N/A Date Rel.: N/A Time Rel.: N/A Pertinent Information: N/A Separation Information: N/A Z04-206LAD Inmate Is In: N/A DS: N/A AD Status Special Housing Unit Cell Number: Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 07-29-2019 Morn Y N/A N/A N/A N/A N/A N/A N/A WBU (M7 (N/A) (H7)MCI 07-29-2019 Day 07-29-2019 Eve Y N N/A N/A N/A N/A N/A 07-30-2019 Morn Y N/A N/A N/A N/A N/A N/A See 2nd page 07-30-2019 Day Y N Ref 07-30-2019 Eve Y No 07-31-2019 Morn Y N/A N/A N/A N/A N/A N/A See 2nd page 07-31-2019 Day Y Y 05:30/07:30 O 02:00 See 2nd page 07-31-2019 Eve Y No 08-01-2019 Morn Y N/A N/A N/A N/A N/A N/A See 2nd page 08-01-2019 Day Y N Ref 08-01-2019 Eve Y No 08-02-2019 Morn Y N/A N/A N/A N/A N/A N/A See 2nd page 08-02-2019 Day Y Y No 01:00 See 2nd page 08-02-2019 Eve Y No 08-03-2019 Morn Y N/A N/A N/A N/A N/A N/A 08-03-2019 Day Y N 08-03-2019 Eve Y N No EXPLANATORY NOTES: 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 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-00024611
Page 997 - DOJ-OGR-00025241
Page 997 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: _____________________________________ Regular Unit: _______ 5UNT MGR (b)(6); (b)(7)(C) XT (b)(6); (b)(7)(C) Cell: 5 Violation or Reason: N/A Date Rec'd: N/A Admittance Authorized: N/A Date Rel.: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z04-206LAD Inmate Is In: N/A DS: N/A AD Status Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature 08-04-2019 Morn Y Y 08-04-2019 Day Y Y 08-04-2019 Eve Y Y 08-05-2019 Morn Y Y 08-05-2019 Day Y Y 08-05-2019 Eve Y Y 08-06-2019 Morn Y Y 08-06-2019 Day Y Y 08-06-2019 Eve Y No 08-07-2019 Morn Y Y 08-07-2019 Day Y Y 08-07-2019 Eve Y No 08-08-2019 Morn Y Y 08-08-2019 Day Y Y 08-08-2019 Eve Y Y 08-09-2019 Morn Y Y 08-09-2019 Day Y Y 08-09-2019 Eve Y Y Morn Day Eve EXPLANATORY NOTES: 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 Time (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-00025241
Page 1117 - DOJ-OGR-00025339
Page 1117 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: ____________________ Regular Unit: ____________________ SUNT MGR EXT Cell: 5 Violation or Reason: PENDING CLASSIFICATION Date: 2019-07-29 Time: 12:21 Rec'd: - Rec'd: - Admittance Authorized: (b)(6); (b)(7)(C) Date: ____________________ Rel.: ____________________ Time: ____________________ Rel.: ____________________ Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z04-206LAD Inmate Is In: DS: AD AD Status: ____________________ Is Inmate on Medication: Y Medical Department Notified: Y Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 08-04-2019 Morn Y 08-04-2019 Day Y 08-04-2019 Eve Y 08-05-2019 Morn Y 08-05-2019 Day Y 08-05-2019 Eve Y 08-06-2019 Morn Y 08-06-2019 Day Y 08-06-2019 Eve Y No 08-07-2019 Morn Y 08-07-2019 Day Y 08-07-2019 Eve Y No 08-08-2019 Morn Y 08-08-2019 Day Y 08-08-2019 Eve Y 08-09-2019 Morn Y 08-09-2019 Day Y 08-09-2019 Eve Y Morn Day Eve EXPLANATORY NOTES: 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 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-00025339
Page 1119 - DOJ-OGR-00025341
Page 1119 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: _____________________________________ Regular Unit: _______ SUNT MGR EXT _______ Cell: 5 Violation or Reason: PENDING CLASSIFICATION Date: 2019-07-29 Time: 12:21 Admittance Authorized: (b)(6); (b)(7)(C) Date: _______ Time: _______ Pertinent Information: N/A Rel.: _______ Rel.: _______ Separation Information: N/A Special Housing Unit Cell Number: Z04-206LAD Inmate Is In: _______ DS: _______ AD _______ AD Status Is Inmate on Medication: Y Medical Department Notified: Y Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature Morn B D S Day Eve 07-29-2019 Morn Y (b)(6); (b)(7)(C) Day 07-29-2019 Eve Y N 07-30-2019 Morn Y (b)(6); (b)(7)(C) Day Y N Ref See 2nd page 07-30-2019 Eve Y No 07-31-2019 Morn Y Day Y Y 06:30/07:30 O 02:00 See 2nd page 07-31-2019 Eve Y No 08-01-2019 Morn Y Day Y N Ref See 2nd page 08-01-2019 Eve Y No 08-02-2019 Morn Y Day Y Y No 01:00 See 2nd page 08-02-2019 Eve Y No 08-03-2019 Morn Y Day Y 08-03-2019 Eve Y N No EXPLANATORY NOTES: 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. 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
Page 1122 - DOJ-OGR-00025344
Page 1122 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION Regular Unit: SUNT MGR EXT Cell: 5 Violation or Reason: PENDING CLASSIFICATION Date: 2019-07-10 Time: 15:26 Admittance Authorized: [redacted] Date: Rel.: Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: H01-001L Inmate Is In: DS: AD Is Inmate on Medication: N Medical Department Notified: Y AD Status: Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature 07-21-2019 Morn Y Y 07-21-2019 Day Y Y 07-21-2019 Eve Y Y 07-22-2019 Morn Y Y 07-22-2019 Day Y Y Y No 01:00 07-22-2019 Eve Y Y EXPLANATORY NOTES: 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 Time (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-00025344
Page 1124 - DOJ-OGR-00025346
Page 1124 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION Regular Unit: A&O UNIT MANAGER (b)(6); (b)(7)(C) Cell: A&O Violation or Reason: PENDING CLASSIFICATION Date Rec'd: 2019-07-10 Time Rec'd: 15:26 Admittance Authorized: (b)(6); (b)(7)(C) Date Rel.: Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z05-124LAD Inmate Is In: DS: AD AD Status Is Inmate on Medication: N Medical Department Notified: Y Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature 07-14-2019 Morn Y Y No (b)(6); (b)(7)(C) 07-14-2019 Day Y N No 07-14-2019 Eve Y N No 07-15-2019 Morn Y Y No (b)(6); (b)(7)(C) 07-15-2019 Day Y Y No 01:00 See 2nd page 07-15-2019 Eve Y No No 07-16-2019 Morn Y Y See 2nd page 07-16-2019 Day Y Y See 2nd page 07-16-2019 Eve Y No No 07-17-2019 Morn Y Y Ref 01:00 See 2nd page 07-17-2019 Day Y Y Ref 01:00 See 2nd page 07-17-2019 Eve Y No No 07-18-2019 Morn Y Y See 2nd page 07-18-2019 Day Y N Ref See 2nd page 07-18-2019 Eve Y No No 07-19-2019 Morn Y Y 00:15 See 2nd page 07-19-2019 Day Y Y 00:15 See 2nd page 07-19-2019 Eve Y Y 07-20-2019 Morn Y Y 07-20-2019 Day Y Y 07-20-2019 Eve Y N No EXPLANATORY NOTES: 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
Page 1127 - DOJ-OGR-00025349
Page 1127 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION A&ON: (b)(6); (b)(7)(C) Regular Unit: UNIT MANAGER (b)(6); (b)(7)(C) Cell: A&O Violation or Reason: PENDING CLASSIFICATION Date Rec'd: 2019-07-07 Time Rec'd: 19:20 Admittance Authorized: (b)(6); (b)(7)(C) Date Rel.: Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z05-124LAD Inmate Is In: DS: AD AD Status Is Inmate on Medication: N Medical Department Notified: Y Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature Morn B D S Day Eve 07-08-2019 Morn Y (b)(6); (b)(7)(C) Day Eve Morn Day Eve Morn Day Eve 07-11-2019 Morn Y 07-11-2019 Day Y N Ref See 2nd page (b)(6); (b)(7)(C) 07-11-2019 Eve Y 07-12-2019 Morn Y 07-12-2019 Day Y See 2nd page (b)(6); (b)(7)(C) 07-12-2019 Eve Y 07-13-2019 Morn Y 07-13-2019 Day Y 07-13-2019 Eve Y EXPLANATORY NOTES: 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-00025349
Page 2696 - DOJ-OGR-00026352
Page 2696 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION A&O (b)(6); (b)(7)(C) UNIT MANAGER (b)(6); (b)(7)(C) Cell: A&O Regular Unit: Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Authorized: N/A Date Rel.: N/A Time Rel.: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z05-124LAD Inmate Is In: N/A DS: N/A AD Status Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 07-14-2019 Morn Y N No 07-14-2019 Day Y N No 07-14-2019 Eve Y N No (b)(6); (b)(7)(C) 07-15-2019 Morn Y Y No 01:00 See 2nd page 07-15-2019 Day Y Y 07-15-2019 Eve Y N 07-16-2019 Morn Y Y 07-16-2019 Day Y See 2nd page 07-16-2019 Eve Y Y No 07-17-2019 Morn Y Y Ref 01:00 See 2nd page 07-17-2019 Day Y Y 07-17-2019 Eve Y Y No 07-18-2019 Morn Y N Ref 07-18-2019 Day Y N See 2nd page 07-18-2019 Eve Y Y No 07-19-2019 Morn Y Y Y 00:15 See 2nd page 07-19-2019 Day Y Y 07-19-2019 Eve Y Y 07-20-2019 Morn Y Y 07-20-2019 Day Y N 07-20-2019 Eve Y N N EXPLANATORY NOTES: 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-00026352
Page 3125 - DOJ-OGR-00026765
Page 3125 BP-A0292 APR 16 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS SPECIAL HOUSING UNIT RECORD NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker: UNASSIGNED ADMISSION Regular Unit: A&C UNIT MANAGER Cell: A&O Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Date Rel: N/A Authorized: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number: Z05-124LAD Inmate Is In: N/A DS: N/A AD Status Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature Mom Day Eve 07-08-2019 Mom Y Day Eve Mom Day Eve Mom Day Eve 07-11-2019 Mom Y 07-11-2019 Day Y N Ref See 2nd page 07-11-2019 Eve Y 07-12-2019 Mom Y 07-12-2019 Day Y 07-12-2019 Eve Y See 2nd page 07-13-2019 Mom Y 07-13-2019 Day Y 07-13-2019 Eve Y EXPLANATORY NOTES: Pertinent Info: i.e., Epileptic; Diabetic; Suicidal; Assautive; 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) Prescribed by P5270 This form replaces BP-292(52) dated AUG 2011. PDF DOJ-OGR-00026765
Page 3127 - DOJ-OGR-00026767
Page 3127 BP-A0292 APR 16 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Reg. No. 76318-054 Team/caseworker UNASSIGNED ADMISSION Regular Unit: A&C UNIT MANAGER A&O Violation or Reason: N/A Date Rec'd: N/A Time Rec'd: N/A Admittance Authorized: N/A Date Rel: N/A Time Rel: N/A Pertinent Information: N/A Separation Information: N/A Special Housing Unit Cell Number Z05-124LAD Inmate Is In: N/A DS: N/A AD Status N/A Is Inmate on Medication: N/A Medical Department Notified: N/A Date Shift Meals SH Exercise Out of cell time (Total min/hrs) Comments Medical Staff Sign OIC Signature B D S 07-14-2019 Mom Y Y N No 07-14-2019 Day Y N No 07-14-2019 Eve Y N No 07-15-2019 Mom Y Y Y No 01:00 See 2nd page 07-15-2019 Day Y Y No 07-15-2019 Eve Y Y No 07-16-2019 Mom Y Y 07-16-2019 Day Y See 2nd page 07-16-2019 Eve Y 07-17-2019 Mom Y Y Ref 01:00 See 2nd page 07-17-2019 Day Y Y 07-17-2019 Eve Y No 07-18-2019 Mom Y Y Ref See 2nd page 07-18-2019 Day Y N Ref 01:00 See 2nd page 07-18-2019 Eve Y No 07-19-2019 Mom Y Y Y 00:15 See 2nd page 07-19-2019 Day Y 07-19-2019 Eve Y 07-20-2019 Mom Y Y 07-20-2019 Day Y N No 07-20-2019 Eve Y N No EXPLANATORY NOTES: 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) Prescribed by P5270 This form replaces BP-292(52) dated AUG 2011. PDF DOJ-OGR-00026767

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