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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
en 0 Yes O No Has received protected weekly exercise: El Yes, K No Proper documentation and justification In the Central Fee (Incident Report. OHO Report copies of Special Housing Review Form) Yes; if no. why not? Is there a written psychiatrk or psythobgical assessment on the inmate who has sped 30
ason for Iftecement PENDING SIS INVESTIGATION/ THREAT ASSESSMENT 1. Sutsect (2 or 3 Days) 3 Day Review Acton Taken on the Above Date Continue in Special Housing Unit Date Redo:mixt 07-19-2019 Pnnted Nameragnature: 11. RECORD REVIEW. (To be done weekly in the DATE ACTION TAKEN REMARKS SIGNATURE 07-23-2019
rden 0 Yet K No Has received presented weekly exercise El Yes, K No Proper documentation and justification In the Central Fee (Incident Report. OHO Report copies of Special Housing Review Form) Yes; no, why not? Is there a written psythiatC or psychobgical assessment on the inmate who lea spent 30 da
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
y Warden 0 Yet O No Has receNed pretested weekly exercise: El yes, K No Proper documentation and exaltation In the Central FSe (Incident Report. OHO Report. copies of Special Housing Review Form) Yes; no. why not? Is there a written psychlatrk or psychobgical assessment on the inmate who lea spent 30
tiMion: NEWYORKMCC Date Entered Special Housing: 07-10-2019 I. Subject: (2 or 3 Days) 3 Day Review Action Taken on the Above Date: Continue in Special Housing Unit Pcioted Name/Sionah 1re· r )(6); lb)(7)(C) II. RECORD REVIEW. Reason for Placement: PENDING CAPTIANS REVIEW Date Reviewed 07-15-2019 (To be d
~ Yes; O No Has received prescribed weekly exercise: ~ Yes; D No Proper documentation and justification in the Central File (Incident Report, OHO Report, copies of Sp~ial Housing Review Form): if no, why not? I Is there a written psychiatric or psychological assessment on the inmate who has spent 3
tiMion: NEWYORKMCC Date Entered Special Housing: 07-10-2019 I. Subject: (2 or 3 Days) 3 Day Review Action Taken on the Above Date: Continue in Special Housing Unit Printed Name/Signature: r )(6); (b)(7)(C) ii. ICC.OOICU ICC I IC ♦f . Reason for Placement: PENDING CAPTIANS REVIEW Date Reviewed 07-15-2019
~ Yes; O No Has received prescribed weekly exercise: ~ Yes; D No Proper documentation and justification in the Central File (Incident Report, OHO Report, copies of Sp~ial Housing Review Form): if no, why not? I Is there a written psychiatric or psychological assessment on the inmate who has spent 3
Entities connected to both Special Housing Unit and OHO Report

Jeffrey Epstein
PERSONFederal Bureau of Prisons
ORGANIZATIONPark Row
LOCATIONLeon Black
PERSON
Julie K. Brown
PERSONRay Ormond
PERSONShirley
LOCATIONNext Review
ORGANIZATIONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONNYM-NEW YORK MCC
ORGANIZATIONSpecial Housing Review Form
ORGANIZATIONthe Reviewing Authority
ORGANIZATIONthe Segregation Review
ORGANIZATIONPGM REVIEW
ORGANIZATIONUNT MGR
ORGANIZATIONMedical Staff
ORGANIZATIONActon Taken
LOCATIONthe Central File (Incident Report
ORGANIZATIONR. PROTO
ORGANIZATIONMichael Carvajal
PERSON