sment for every one month interval thereafter? 47‘1 Yet CI No if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: K Released from Special Housng; WI Continue in Special Hoeing Did inmate In Administrative Deletion receive a written copy of Staffs decision an

ne month interval thereafter? P1 Yes: E NO if no. why not? P1 Yes: El No Action taken on the above date by the Segregation Review Official or the Reviewing Authority: I;s71COntinbe in Special Housing iJ Released from Special Housing; Did inmate in Administrative Detention receive a written copy of stairs decisi

essment for every one month interval thereafter? K Yes: LI NO if no. why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: K Released from Special Housing. K Continue m Special Housing Did inmate in Administrative Detention receive a written copy or staffs decision an

sessment for every one month interval thereafter? O Yes: O No if no. why not? Acts) taken on the above date by the Segregation Review Official or the Reviewing Authority: O Released from Special Housing: O Continue in Speaal Housing Did inmate in Adminisuative Detention receive a written copy of staffs decision and

sessment for every one month interval thereafter? K Yes: K No if no. why not? Acton taken on the above date by the Segregation Review Official or the Reviewing Authority: K Released from Special Housing: K Conbnue vi Special Housing Did inmate In Administrative Detention recent a written copy of staffs decision and

essment for every one month interval thereafter? ~ Yes; 0 No if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: D Released from Special Housing; ~ Continue In Special Housing Old inmate In Administrative Detention receive a written copy of staff's decision

essment for every one month interval thereafter? ~ Yes; 0 No if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: D Released from Special Housing: ~ Continue In Special Housing Old inmate In Administrative Detention receive a written copy of staff's decision

for every cne month interval thereafter? O Yes. O No dn.. why not? O Yes O No Acton taken on the above date by the Segregation Review ()Moat or the Reviewing Authority: K Re:eased from Special Housing. O Continue in Special Reusing Did inmate in Administrative Detention receive a written copy of staffs decision a

t changes, the inmate must receive a copy of this form) Date of Next Review 07-25-2019 Pnntad Name and Signature of Segregation Renew Official or the Reviewing Authority and Date Si el Record Copy Central File This form replaces BP-295(52) dated January 1988 file:///Ciltemp/shu/Epstein-Reno76318-054_SRO_20190710-20

ment changes, the inmate must receive a copy of this form) Date of Next Review: 07.23.2019 Printed Name and Signal Segregation Review Official or the Reviewing Authority and Date Signed RICE, MARQUEA S Record Copy - Central File This form replaces BP-295(52) dated January 1988 Page 1 of 1 7/19/2019 EFTA00049864