X PT: MGTV: PUB SFTY: MVED: (B) BASE SCORING DETAINER: SEVERITY MOS REL.: CRIM HIST SCORE: ESCAPES.: VIOLENCE VOL SURR: AGE CATEGORY...: EDUC LEV: DRUG/ALC ABUSE.: (C) CUSTODY SCORING TIME SERVED PROG PARTICIPAT: LIVING SKILLS...: TYPE DISCIP RPT: FREQ DISCIP RPT.: FAMILY/COMMUN..: -

X PT: MGTV: PUB SFTY: MVED: (B) BASE SCORING DETAINER: SEVERITY MOS REL.: CRIM HIST SCORE: ESCAPES.: VIOLENCE VOL SURR: AGE CATEGORY...: EDUC LEV: DRUG/ALC ABUSE.: (C) CUSTODY SCORING TIME SERVED FROG PARTICIPAT: LIVING SKILLS...: TYPE DISCIP RPT: FREQ DISCIP RPT.: FAMILY/COMMUN..: -

IDENTIFYING DATA REG NQ_ - : I 76318-054 I FORM DATE: NAME ____ : EPSTEIN, JEFFREY EDWARD PUB SFTY: DETAINER: MOS REL_: ESCAPES_: VOL SURR: EDUC LEV: TIME SERVED _____ : LIVING SKILLS ___ : FREQ DISCIP RPT_: MGTV: MVED: (B) BASE SCORING SEVERITY _______ : CRIM HIST SCORE: VIOLENCE _______