BP-A0292 APR 18 SPECIAL HOUSING UNIT RECORD U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC (Institution) Inmate Name: EPSTEIN, JEFFREY EDWARD Rag. No . 76318.054 Teamtaseworker UNASSIGNED ADMISSION Regular Unit " C= . Cell' UNIT MANAGER X MO m Violation Date Time PENDING CLASSIFICATION 2019-07-10 15:26 or Reason: Reed: ReCd: Admittance Date Time Authorized: Rel.: Rel.: Pertinent Information: N/A Separation Information: NIA Special Housing Unit Cell Number: 205-124 LAD Inmate Is In: Is Inmate on Medication: N Medical Department Notified: Date Shift Meals SH Exercise Out of cell lime (total) Comments Medical Staff Sign OIC Signature 8 D S 07-14-2019 Morn v 07-14-2019 Day V N No 07-14-2019 Eve V N No r See 2nd page 06162019 Morn y anemia Day r No 01:00 07.162019 Eve V Na 0746.2019 Mom y 06164019 Day Y See and page omezois Eve Y No 06174019 Morn Y 06174019 Day Y y Net 01:09 See 2nd page 07.174019 06164019 Eve Mom v Y No 07462019 Day Y N Ref See 2N1 page 06162019 Eve Y No 06194019 Wall Y 07494019 Day Y V 00:15 See 2nd page 07.194019 Eve 07462019 Morn v 0740-2019 Day Y 07462019 Eve Y N No DS: 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 Ubrary,(LV) Legal Visit, (U) Unit Team. (P) Psychology. (E) Education, (H) Haircut, (C) Chapel, (R) Recreation, (X) Property Issue. (V) Visit. (M) Medical. (C) Court, (O) Other - Yes (Y) if applicable / Enter Actual Time Period Stan and End (is., 0930 -1030 hrs) in Out 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. EFTA00036585

Day shift comments: 07-15-2019 Health: Voices no medical complaints. Day shin comments: 07-16-2019 Health: Voices no medical complaints. Day shift comments: 07-17-2019 Health: Voices no medical complaints. Day shift comments: 07-18-2019 Health: Voices no medical complaints Day shin comments: 07.19.2019 Health: Voices no medical complaints. EFTA00036586