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In the reason for placement Is to be noted m this section. If the reason for placement changes, the inmate must receive a copy of Cis form): Date of Next Review 0740-2019 Rented Name and Senature of aegis° Official or the Reviewing Authoaty and Date Signed. Record Copy • Central Ftie This form replaces B
ESP-UNASSIGNED 08-01-2018 1718 NYM LEVEL UNASSG UNASSIGNED 08-01-2018 1718 NYM MED DY ST NOT MED CL NOT MEDICALLY CLEARED 08-01-2018 1718 NYM PGM REVIEW OCT OCTOBER PROGRAM REVIEW 10-29-2019 1043 NYM QUARTERS G12-792L HOUSE G/RANGE 12/BED 792L 11-23-2018 1001 NYM RELIGION UNKNOWN RELIGION UNK
ange in the reason for placement is to be noted in this What If Me reason for placement changes, the inmate must receive a copy &this form): Date of Next Review. 07.23.2019 Printed Name and Signe Segregation Review Official ea the Reviewing Authority and Date Signed. M. I Record Copy - Central File TN'
NYM CMC NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM CASEWORKER CUSTODY DRUG PGMS EDUC INFO FIN RESP LEVEL MED DY ST PGM REVIEW QUARTERS RELIGION SECOND RSP UNIT WAITNG LST WRK DETAIL FAX: REG FUNCTION: PRT DOB/AGE.: R/IrETH.: MILEAGE.: 03-10-1969 / 50 W/M/H WALS
the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive a copy of this form): Date of Next Review. 07.23.2019 lion Review Official Or the Reviewing Authority and Date Signed. This form replaces BP-295(52) dated January 1988 Page I of 1 7/19/20
ESP-UNASSIGNED 08-01-2018 1718 NYM LEVEL UNASSG UNASSIGNED 08-01-2018 1718 NYM MED DY ST NOT MED CL NOT MEDICALLY CLEARED 08-01-2018 1718 NYM PGM REVIEW OCT OCTOBER PROGRAM REVIEW 10-29-2019 1043 NYM QUARTERS G12-792L HOUSE G/RANGE 12/BED 792L 11-23-2018 1001 NYM RELIGION UNKNOWN RELIGION UNK
n the reason for placement Is to be noted in this section. If the reason for placement changes. the inmate must receive a copy of this form) Date 01 Next Review 01.23-2019 Printed Name and Sign Segregation Renew Official or the Renewing Authority and Date Signed Record Copy - Central File This form repla
ESP-UNASSIGNED 08-01-2018 1718 NYM LEVEL UNASSG UNASSIGNED 08-01-2018 1718 NYM MED DY ST NOT MED CL NOT MEDICALLY CLEARED 08-01-2018 1718 NYM PGM REVIEW OCT OCTOBER PROGRAM REVIEW 10-29-2019 1043 NYM QUARTERS G12-792L HOUSE G/RANGE 12/BED 792L 11-23-2018 1001 NYM RELIGION UNKNOWN RELIGION UNK
Entities connected to both Next Review and PGM REVIEW
NYM-NEW YORK MCC
ORGANIZATIONUNT MGR
ORGANIZATION
Jeffrey Epstein
PERSONSpecial Housing Unit
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATIONLeon Black
PERSONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONSpecial Housing Review Form
ORGANIZATIONthe Reviewing Authority
ORGANIZATIONCARE1-MENTAL
ORGANIZATIONR/S/ETH
ORGANIZATION
Julie K. Brown
PERSONthe Segregation Review
ORGANIZATION
Department of Justice
ORGANIZATIONPark Row
LOCATIONNYM MED DY ST
ORGANIZATIONR. PROTO
ORGANIZATIONMedical Staff
ORGANIZATIONActon Taken
LOCATIONOHO Report
ORGANIZATION