Morn v 07.124019 Day y sin mo per SOUK YSIMEt. 07.124019 Eve Y I I 07.114019 Morn Y 07.134019 Day y 07.154019 Eve Y N/A OS: N/A WA ADStatus EXPLANATORYNOTES:Pertinent Info: -.e.. Epileptic: Diabetic; Assaultive: etc. Meals/SH: Shower - Yes co; No (N). Refused (R)Out-of-Cell Time (LL) L

- --- - --- - . . . Z05-124LAO NIA NIA Spectal Housing Unit Cell Number: _ _ ___ _ ___ _ _ lnmate Is ln: _ _ _ _____ _ _ .OS: _ ___ _ _ _ _ _ ~ ADStatus N/A NIA Is Inmate on Medication:. ______ _ _ _______ _ Medical Department Notified: ___ _____ _ _ _____ _ _ _ Date Shift Meals SH Exerdse 8-