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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
. why not? ONO ONO Acbon taken on the above date by the Segregation Review Official or the Reviewing Authority. O Released torn Specie! Housing; El Continue in Special Housing Did inmate In AdmiNstrathe Detention meow a written copy of staffs decision and tne basis for the finding at each 30 day review?
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'
. why not? ONG ONO Acbon token on the above date by the Segregation Review Official or the Reviewing Authority: O Released torn Specie! Housing; El Continue in Special Housing Die inmate In AdmiNstrative Detention receive a *Mien copy of decision and me basis for the finding at each 30 day review? g y
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
why not? O No ONO Action liken on the above data by the Segregation ReNew Official or the Reviewing Authority: O Released torn Special Housing; El Continue In Special Housing Did inmate In AdmINstrathe Detention receive a written copy Of staffs decision and me basis for the finding at each 30 day review
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 of Next Review: 07.23.2019 Printed Name and Signal Segregation Review Official or the Reviewing Authority and Date Signed RICE, MARQUEA S Record Copy - Central
if no, why not? Owe Adorn taken on me above date by me Segregation Review Official or the Reviewing Authority: 0 Reteased from Special Housing, El Continue in Special Housing Did ornate ri Administrative Detention receive a written copy of staffs decision and the basis for the ending at earn 30 day revi
Entities connected to both Next Review and El Continue
Special Housing Unit
ORGANIZATIONSpecial Housing Review Form
ORGANIZATIONthe Reviewing Authority
ORGANIZATIONLeon Black
PERSONFederal Bureau of Prisons
ORGANIZATIONMedical Staff
ORGANIZATIONthe Segregation Review
ORGANIZATION
Julie K. Brown
PERSONActon Taken
LOCATIONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONOHO Report
ORGANIZATIONPGM REVIEW
ORGANIZATIONthe Central File (Incident Report
ORGANIZATIONR. PROTO
ORGANIZATIONCopy - Operation Supervisor
ORGANIZATIONNYM-NEW YORK MCC
ORGANIZATIONUNT MGR
ORGANIZATIONSHU Review
ORGANIZATIONMedical Stall
ORGANIZATIONPGMS NR
ORGANIZATION