BP.A0292 APR IS SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Nog. No. 76318.054 Teamtaseworker Regular Unit. 5UNT MGR Cell 5 Violation Date Time PENDING CLASSIFICATION 2019-07-29 12:21 or Reason' Reed: Reed: Admittance Date Time Authorized: Rel.: Rel.: Pertinent Information: N/A Separation Information: Nth Special Housing Unit Cell Number: 204.206E-0D Inmate Is In: Is Inmate on Medication: V Date Shift Meals SH Exercise Out of cell time (total) Comments Medical Staff Sign 0 10 Signature 8 D S Morn Day Eve 07.29.2019 Morn v Day 07.29.2019 Eve y N 07.302019 Mom y 07404019 Day Y N RP Sea 2nd page 07404019 Eve Y No 0741.2019 Morn y 0741.2019 Day v y 0&30i07900 02:00 Sea 2nd page 0741.2019 0&01.2019 Eve Mom v y - 08.01.2019 Day v N Ref See 2rd page -- 08.01.2019 Eve y No 08.02.2019 Morn Y 03424019 Day Y Y No 01:00 See 2nd page 26.02.2019 Eve v Na 26.034019 Morn v 26.034019 Day v 06-034019 Eve Y N No DS: Medical Department Notified: AD AD Status EXPLANATORYNOTES:Pertinent Info: i e., Epileptic; Diabetic; Suicidal; Assaultive: etc. Meals/SH: Shower - Yes (Y): No (N); Refused (R)Out•of -Cell Time: (LL) Law Library,(LV) Legal Visit, (U) Unit Team. (P) Psychology. (E) Education, (H) Haircut, (C) Chapel, (R) Recreation, (X) Property Issue. (V) (M) Medical. (C) Court. (0) Other - Yes (Y) if applicable / Enter Actual Time Period Stan and End (i.e., 0930 - 1030 hrs) in OW of Cell Time Block. Medical: Medical providers will sign the segregation log each shift and the record sheet each time the inmate is seen by a medical provider. At a minimum. the record sheet must be signed at least once each day by the medical provider. Comments: i.e., Conduct, Attitude. etc. Additional comments on reverse side must include date, signature, and title. OIC Signature: OIC must sign all record sheets each shift. (OIC • Unit Officer) PDF Prescribed by P5270 This form replaces BP•292(52) dated AUG 2011. EFTA00036582

Day shift comments: 07.30.2019 Health: Voices no medical complaints. Day shift comments: 07.31.2019 Health: Voices no medical complaints. Day shift comments: 08-01.2019 Health: Voices no medical complaints. Day shift comments: 08-02-2019 Health. Voices no medical complaints. EFTA00036583