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Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: Joaquin, Y. MLP Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: Joaquin, Y. MLP Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: Work Related: Pain Location:

Post Spit Shft Officer Relieved Officer's New Status Relieving Officer's Relieving Officer Previous Status Rot 8hft Changed By TOOL ROOM 0 McDermott, V (Sick /Annual) <Unastrined> KS 7/1413:31 [Sick / Annual] Mr-De/matt V [Removed] KS 7/14 13:52 CONTROL #2 3 Sehuppet C $ Annual Leave <

D BY MEDICAL STAFF AND ASSAULTING ANY PERSON Psych/Haw Services Comments: Unit Team Cortunentt; Pending DHO for code 111. 113. 224 SIS Comments; Health Services Comment Correctional Services Comments: ON 07-19-2019 STAFF CONDUCTING A VISUAL SEARCH STAFF RECOVERED CLEAR BALLOON CONTAINING GREEN LEAFY SUBSTA

" Post Spit Shft Officer Relieved Office?. New Status Redwing Officer Relieving Officer's Previous Status Ret Sift Changed By TOOL ROOM 6 McDermott V (Sick / Annual] <Unassigned> KS 7/14 13:31 (Sick / Annual] McDermott ,V (Removed] 7/14 13:52 CONTROL 02 3 &hum& C $ Annual Leave <Unass

on inmate Tartaglione, Nicholas; Reg. No. 78514-054, by Kang, Yoon, PA-C. During the assessment Tartaglione was not identified with any injuries by Health Services Staff. Photographs Contraband PHOTOGRAPH OF TF14688 HOMEMADE ROPE.pdf PHOTOGRAPH OF HOMEMADE ROPE ECN#NYM-19-0147 Evidence Control Chain Of

Post Spk Shft Officer Relieved Officers New Status Relieving Officer Relieving Officer's Previous Status Rot Shft Changed By TOOL ROOM 6 McDermott V [Sick / Annual] <Unassigned> K 7/14 13:31 [Sick / Annual] McDermott V [Removed) K 7/14 13:52 CONTROL 02 3 Schuppel. C Annual Leave <Una