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n a special housing states? ClYes; 0 No Is there an eitaltionai essesamertt for ovary one month interval thentediar7 O Yet CI No if no. why not? Acton taken on die above date by the Segregation Bedew OtEdat or the Redevitog Aalborg,: 0 RN-eased from Special Housing, ID Cangnue In Special &tang C4
s in a special housing status? Is there an additional assessment for every cne month interval thereafter? O Yes. O No dn.. why not? O Yes O No Acton taken on the above date by the Segregation Review ()Moat or the Reviewing Authority: K Re:eased from Special Housing. O Continue in Special Reusing
red January 1038 Page 1 of 1 7/23/2019 EFTA00047583 BP-A205.052 SPECIAL HOUSING UNIT REVIEW U.S. DEPARTMENT OF JUSTICE / '""'\ L APRIL 1904 FEDERAL BUREAU OF PRISONS Inmate Name: REYES, EFRAIN Rolsier Number. 86993-064 Unit 7 Insbuticn, NEW YORK MCC Dab Entered Special itinuitng: 07-18-2019 Rosen for Plac
facts about the incident, statements of those persons present at scene, disposition of evidence. etc 26. Investigators comments and conclusions 27. Acton taken: Date and Time Investigation Completed Pr nted Name/Signature of Investgator. Title nor Prescribed by P5270 Replaces BP A0288 of AUG
8/09/2019 5. 'Time 1:40PM S. Place of Incident SPECIAL HOUSING UNIT VISITING ROOM 7. Assignment: UNASSIGNED e. tied 7 NORTH INCIDENT REPORT FEDERAL BUREAU OF PRISONS 9 Mcazient: ATTEMPT INTRODUCTION DRUGS 10. Prohibited Act Code (sr 111A 11. Description of Incident (Date: 08/09/2019 Time 1:40PM Staff became
n a special hOuSelg status? K Yes: K No Is there an addmonal assessment for every one month interval thereafter? K Yes: K No if no. why not? Acton taken on the above date by the Segregation Review Official or the Reviewing Authority: K Released from Special Housing: K Conbnue vi Special Housin
PDF Prescribed by P5270 (Replaces 8P-A0308 of JAN 88.) EFTA00110614 8P•ki3Ci3 ADMINISTRATIVE DETENTION ORDER M. DEPARTMENT OF JUSTICE JAN 17 FEDERAL BUREAU OF PRISONS NEW YORK MCC tnsbkton TO Sp FROM.illitis (NarneThtle) SUBJECT : Placement of Reg. No. in Administrative Detention (a) Is pending an Inv
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