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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
(2 Or 3 Days) 3 Day Review Action Taken on the Above Date Continue In Special Housing Unit Date Reviewed 07.19.2019 Pelted Name/Signature -St IL RECORD REVIEW. (To be done weekly in U'- absence, beginning after the in.person 7 day review. and continuing every week between each in-person 30 day review.) D
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
or 3 Days) 3 Day Review Acton Taken on ine AbOve Date: Continue In Special Housing Unit Printed Name/Signature: =MEI Date Reviewed 07.19.2019 IL RECORD REVIEW. (To be done weekly in the inmate's absence, beginning after the in.person 7 day review. and continuing every week between each in-person 30 day rev
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
L (2 or 3 Days) 3 Day Review Action Taken on um Above Deb: Continue In Special Housing Unit mead NameisIgnalaret Data Ftedavrad 07-19-2019 IL RECORD REVIEW. (To be done wedge? M the train's abloom% begin:AM° after the N-omen 7 day review. and conertuing every week between each in-person 30 day antaw.)
Entities connected to both PGM REVIEW and IL RECORD REVIEW
NYM-NEW YORK MCC
ORGANIZATIONUNT MGR
ORGANIZATIONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONCARE1-MENTAL
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATIONSpecial Housing Unit
ORGANIZATIONLeon Black
PERSON
Julie K. Brown
PERSONR. PROTO
ORGANIZATIONNYM MED DY ST
ORGANIZATIONCopy - Operation Supervisor
ORGANIZATIONthe Reviewing Authority
ORGANIZATIONNext Review
ORGANIZATIONSpecial Housing Review Form
ORGANIZATIONNYM CALLOUTS
PERSONPGMS NR
ORGANIZATIONHOUSE G/RANGE
ORGANIZATIONPagelofl
PERSONActon Taken
LOCATIONUSM SOUTHERN DISTRICT
ORGANIZATION