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n for Placement' PENDING SIS INVESTIGATION/ THREAT ASSESSMENT I. Subject: (2 or 3 Days) 3 Day Review Action Taken on the Above Dale: Continue in Special Housing Unit Printed Name/Signature: Date Reviewed 07.19.2019 II. RECORD REVIEW. (TO be done weekly in the inmate's absence, beginning after the in-person 7
and decision, which Is documented here. Record Copy • Inmate Concerned (not necessary it placement is a result ot holdover status); Copy - Captain, Copy - Unit Manager. Copy - Operation Supervisor • Administrative Detention Unit: Copy — Psychology; Copy - Central Fine PDF Prescribed by P5270 (Replaces 8P
NG SIS INVESTIGATION/ THREAT ASSESSMENT L Subject (2 or 3 Days) 3 Day Review Date Reviewed 07-19-2019 Acton Taken on the Above Date Continue in Special Housing Unit P r. N rn nature: II. RECORD REVIEW. (To be done wieldy In the Inmates absence. beginning after the iniperson 7 day review. and continuing every
and decision, which Is documented here. Record Copy - Inmate Concerned (not necessary it placement is a result ot holdover status); Copy - Captain, Copy - Unit Manager. Copy - Operation Supervisor • Administrative Detention Unit: Copy — Psychology; Copy - Central Fike PDF Prescribed by P5270 (Replaces BP
straints, etc.) Please be clear about cause(s) of the incident in your description. On July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the Control Center. Upon my arrival I was informed that an inmate had attempted suicide and proceeded to cell, Z05-124LAD. I obser
and decision. which is documented here. Record Copy - Inmate Concerned (not necessary 4 placement IS a result of holdover status); Copy - Captain; Copy - Unit Manager; Copy - Oper • n limo, Q - AdrniristraWe Detention Unit: Copy — Psychology: Copy - Central File PDF Prescribed by P5270 (Replaces BP-A0
Entities connected to both Special Housing Unit and Copy - Unit

Jeffrey Epstein
PERSONFederal Bureau of Prisons
ORGANIZATIONPark Row
LOCATIONLeon Black
PERSONHealth Services
ORGANIZATION
Julie K. Brown
PERSONVesicular Breath Sounds Bilaterally
PERSONBureau of Prisons - NYM
ORGANIZATIONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONNYM-NEW YORK MCC
ORGANIZATIONNext Review
ORGANIZATIONSpecial Housing Review Form
ORGANIZATIONthe Reviewing Authority
ORGANIZATIONNICHOLAS
PERSONActon Taken
LOCATIONPGM REVIEW
ORGANIZATIONUNT MGR
ORGANIZATIONMedical Staff
ORGANIZATIONOHO Report
ORGANIZATIONR. PROTO
ORGANIZATION