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. 2. Inmate's Name: Epstein . Jeffery 3. Register Number: 76318-054 4. Date of incident j 07/23/2019 5. Time: 1:27am S. Place of Incident: SHU M-Tier Cell 124 1. Assignment: Unassigned 8. V ZA 9. Incident: Self-Mutilation 10. Prohibited Act Code (a): 228 11. Description of incident (Date: 07/23/2
EDWARD Reg. No.: 76318-054 The UDC refers this case to the DHO, all of the following is attached: PP44 - To determine if the inmate is GED "Sat or Unsat" PSDC - To determine the number and types of comps. PSDG- To determine the amount of available GCT for each Comp. PSSD- To determine the amount of
2of 2 Page 1057 ' ' .. BP-, 1021!8' JAN,1F INCIDENT REPORT U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS . 1me: 1:27am 1gnmen : SHU M-Tier Cell 124 Unassigned 11. Description of Incident (Date: 07/23/2019 Time: 1 :27 AM Staff became aware of Incident): (b)(7)(A) (b)(6); f b)(6); (b)(7)
WARD Reg. No . : 76318-054 The UDC refers this case to the DHO, all of the following is attached: PP44 - To determine if the inmate is GED "Sat or Unsat" PSDC - To determine the number and types of comps. PSDG- To determine the amount of available GCT for each Comp. PSSD-To determine the amount of
e2of 2 Page 1140 ' ' .. BP-, 1021!8' JAN,1F INCIDENT REPORT U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS . 1me: 1:27am 1gnmen: SHU M-Tier Cell 124 Unassigned ent: Self-Mutilation .b)(7)(A) 17. Comments of Inmate to Committee Regarding Above Incident: u.las c WV h~ s r",ai,.\s c1n& I :
JEFFREY EDWARD Reg. No . : The UDC refers this case to the DHO, all of the following is attached: PP44 - To determine if the inmate is GED "Sat or Unsat" PSDC - To determine the number and types of comps. PSDG- To determine the amount of available GCT for each Comp. PSSD-To determine the amount of
Entities connected to both SHU M-Tier Cell and Unsat

Jeffrey Epstein
PERSON
Metropolitan Correctional Center
ORGANIZATIONPark Row
LOCATIONFederal Bureau of Prisons
ORGANIZATIONHealth Services
ORGANIZATIONVesicular Breath Sounds Bilaterally
PERSON
the United States Government
ORGANIZATION
Department of Justice
ORGANIZATIONthe Parole Commission
ORGANIZATIONLeon Black
PERSONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONBureau of Prisons - NYM
ORGANIZATIONNYM-NEW YORK MCC
ORGANIZATIONNortheast Region
LOCATIONHousin Unit S
ORGANIZATIONIPEND UDC
ORGANIZATIONoommm.d
ORGANIZATIONRoomAir
ORGANIZATIONHea ng Officer
PERSONShirley
LOCATION