## SPECIAL HOUSING UNIT RECORD
## U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS
| | | | | | | | NEW YORK MCC | | | | | | | | |
|--------------------------------------------------------------------|--------------------------------|---|------------------------|---|----|----------|------------------|----------------------|-----------|------------|---------------|---------------|-----------|--|--|
| EPSTEIN, JEFFREY EDWARD | | | | | | | | | | | (Institution) | | | | |
| Inmate Name: | | | | | | | | | | Reg. No. | 76318-054 | | | | |
| Team/caseworker: | | | | | | | | Regular Unit: | 5UNT MGR. | | | 5
Cell: | | | |
| Violation | | | PENDING CLASSIFICATION | | | | | Date | | Time | | | | | |
| or Reason: | | | | | | | | 2019-07-29
Rec'd: | | | Rec'd: | 12:21 | | | |
| Admittance | | | | | | | | Date | | | Time | | | | |
| Authorized: | | | | | | | | Rel .: | | | Rel .: | | | | |
| | N/A
Pertinent Information: | | | | | | | | | | | | | | |
| | N/A
Separation Information: | | | | | | | | | | | | | | |
| Z04-206LAD
Special Housing Unit Cell Number:
Inmate Is In: | | | | | | | | | | DS: | | AD | AD Status | | |
| Y
Y
Is Inmate on Medication:
Medical Department Notified: | | | | | | | | | | | | | | | |
| Date | Shift | | Meals | | SH | | Out of cell time | | Medical | | | | | | |
| | | B | D
S | | | Exercise | (Total min/hrs) | | Comments | Staff Sign | | OIC Signature | | | |
| 08-04-2019 | Morn | Y | | | | | | | | | | | | | |
| 08-04-2019 | Day | | Y | | | | | | | | | | | | |
| 08-04-2019 | Eve | | | Y | | | | | | | | | | | |
| 08-05-2019 | Morn | Y | | | | | | | | | | | | | |
| 08-05-2019 | Day | | Y | | | | | | | | | | | | |
| 08-05-2019 | Eve | | | Y | | | | | | | | | | | |
| 08-06-2019 | Morn | Y | | | | | | | | | | | | | |
| 08-06-2019 | Day | | Y | | | | | | | | | | | | |
| 08-06-2019 | Eve | | | Y | | No | | | | | | | | | |
| 08-07-2019 | Morn | Y | | | | | | | | | | | | | |
| 08-07-2019 | Day | | Y | | | | | | | | | | | | |
| 08-07-2019 | Eve | | | Y | | No | | | | | | | | | |
| 08-08-2019 | Morn | Y | | | | | | | | | | | | | |
| 08-08-2019 | Day | | Y | | | | | | | | | | | | |
| 08-08-2019 | Eve | | | Y | | | | | | | | | | | |
| 08-09-2019 | Morn | Y | | | | | | | | | | | | | |
| 08-09-2019 | Day | | Y | | | | | | | | | | | | |
| 08-09-2019 | Eve | | | Y | | | | | | | | | | | |
| | Morn | | | | | | | | | | | | | | |
| | Day | | | | | | | | | | | | | | |
| | Eve | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | |
EXPLANATORYNOTES:Porthent Info: i.e., Epileptic; Suicidal; Assaultive; etc. Meals/SH: Shower - Yes (Y); No (N); Refused (R)Out-of-Odl Time: (L) Law Library,(LV) Legal Visit, (U) Unit Team, (P) Psychology, (E) Education, (H) Haircut, (C) Chapel, (R) Property Issue, (V) Visit, (M) Medical, (C) Court, (O) Other - Yes (Y) if applicable / Enter Actual Time Period Start and End (i.e., 0930 - 1030 hrs) in Out of Cell Time Block.
Medical: Medical providers will sign the segregation of the record sheet each time the innate is seen by a medical provider. A 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)
## 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
or Reason' | | | | | | | | Reed: | 2019-07-29 | | Reed: | 12:21 | | | |
| Admittance | | | | | | | | Date | | | Time | | | | |
| Authorized: | | | | | | | | Rel.: | | | Rel.: | | | | |
| Pertinent Information: N/A | | | | | | | | | | | | | | | |
| | Separation Information: Nth | | | | | | | | | | | | | | |
| Special Housing Unit Cell Number: 204.206E-0D
Inmate Is In: | | | | | | | | | | DS: | AD | | AD Status | | |
| Is Inmate on Medication:
V
Medical Department Notified: | | | | | | | | | | | | | | | |
| Date | Shift | Meals | | | SH | | Out of cell time | | Medical | | | | | | |
| | | 8 | D | S | | Exercise | (total) | | Comments | Staff Sign | | 0 10 Signature | | | |
| | 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 | Eve | | | y | | | | | | | | | | | |
| 0&01.2019 | Mom | v | | | | | | | | | - | | | | |
| 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 | | | | | | | | | |
| | | | | | | | | | | | | | | | |
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)
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.
## SPECIAL HOUSING UNIT RECORD
## U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS
| | | | | | | | | | NEW YORK MCC | | | |
|--------------------------------------------------------------------|-------|---|------------|---|----|----------|-----------------------------|---------------|------------------------|-----------------------|---------------|---------------|
| | | | | | | | | | | | (Institution) | |
| Rog. No. 76318.054
Inmate Name: EPSTEIN, JEFFREY EDWARD | | | | | | | | | | | | |
| Teamtaseworker UNASSIGNED ADMISSION | | | | | | | | | Regular Unit 5UNT MGR. | | | 5
Cell' |
| Violation
PENDING CLASSIFICATION
or Reason: | | | | | | | | Date
Reed: | 2019-07-10 | | Time
ReCd: | 15:26 |
| AdmMance
Authorized: | | | | | | | | Date
Rel.: | | | Time
Rel.: | |
| Pertinent Information: N/A | | | | | | | | | | | | |
| | | | | | | | | | | | | |
| Separation Information: Nth
AD | | | | | | | | | | | | |
| Special Housing Unit Cell Number: H01•001L
Inmate Is In:
DS: | | | | | | | | | | | AD Status | |
| Is Inmate on Medication:
N
Medical Department Notified: | | | | | | | | | | | | |
| Date | Shift | B | Meals
D | S | SH | Exercise | Out of cell time
(total) | | Comments | Medical
Staff Sign | | OIC Signature |
| 07-21.2019 MOM | | Y | | | | | | | | | | |
| 07-21.2019 Day | | | y | | | | | | | | - | |
| 07-21.2019 Eve | | | | y | | | | | | | | |
| 07.22.2019 Morn | | v | | | | | | | | | | |
| 07,224019 Day | | | y | | Y | NO | 01:00 | | | | | |
| 07,22.2019 Eve | | | | y | | | | | | | | |
| | Mom | | | | | | | | | | | |
| | Day | | | | | | | | | | | |
| | Eve | | | | | | | | | | | |
| | Morn | | | | | | | | | | | |
| | Day | | | | | | | | | | | |
| | Eve | | | | | | | | | | | |
| | Mom | | | | | | | | | | | |
| | Day | | | | | | | | | | | |
| | Eve | | | | | | | | | | | |
| | Morn | | | | | | | | | | | |
| | Day | | | | | | | | | | | |
| | Eve | | | | | | | | | | | |
| | Morn | | | | | | | | | | | |
| | Day | | | | | | | | | | | |
| | Eve | | | | | | | | | | | |
EXPLANATORYNOTES:Pertinent Info: i t. Epileptic; Diabetic; Suicidal; Assaultive: etc. Meals/SH: Shower - Yes (Y); No (N); Refused (R)Out•of Time: (LL) Law Ubrary,(LV) Legal Visit, (U) Unit Team. (P) Psychology. (E) Education, (H) Haircut, (C) Chapel, (R) Recreation, (X) Property Issue. (V) (M) Medical. (C) Court. (O) Other - Yes (Y) if applicable / Enter Actual Time Period Stan and End (i.e., 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 al 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)
## SPECIAL HOUSING UNIT RECORD
## U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS
| | | | | | | | | | NEW YORK MCC | | | |
|---------------------------------------------------------------|-------|---|------------|---|----|----------|------------------|----------------|---------------|----------------|-------|---------------|
| | | | | | | | | | (Institution) | | | |
| Rag. No . 76318.054
Inmate Name: EPSTEIN, JEFFREY EDWARD | | | | | | | | | | | | |
| Teamtaseworker UNASSIGNED ADMISSION | | | | | | | | Regular Unit " | C=
m | UNIT MANAGER X | | MO
Cell' |
| Violation | | | | | | | | Date | | | Time | |
| PENDING CLASSIFICATION
or Reason: | | | | | | | | Reed: | 2019-07-10 | | ReCd: | 15:26 |
| Admittance | | | | | | | | Date | | | Time | |
| Authorized: | | | | | | | | Rel.: | | | Rel.: | |
| Pertinent Information: N/A | | | | | | | | | | | | |
| Separation Information: NIA | | | | | | | | | | | | |
| Special Housing Unit Cell Number: 205-124 LAD | | | | | | | Inmate Is In: | | | DS: | AD | AD Status |
| Is Inmate on Medication:
N
Medical Department Notified: | | | | | | | | | | | | |
| Date | | | | | | | Out of cell lime | | | Medical | | |
| | Shift | 8 | Meals
D | S | SH | Exercise | (total) | Comments | | Staff Sign | | OIC Signature |
| 07-14-2019 Morn | | v | | | | | | | | | | |
| 07-14-2019 Day | | | V | | N | No | | | | | | |
| 07-14-2019 Eve | | | | V | N | No | | | | | | |
| 06162019 Morn | | y | | | | | | | | | | |
| anemia Day | | | r | | r | No | 01:00 | | See 2nd page | | | |
| 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 | Eve | | | Y | | No | | | | | | |
| 06164019 | Mom | v | | | | | | | | | | |
| 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 | | | | | | | | | | | | |
| 0740-2019 Day | | v | Y | | | | | | | | | |
| 07462019 Eve | | | | Y | N | No | | | | | | |
| | | | | | | | | | | | | |
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)
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.
### SPECIAL HOUSING UNIT RECORD
### U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS
| | | | | | | | | | NEW YORK MCC | | | | | |
|----------------------------------------------------------------|-------------------------------------------------------------|-------|---|---|----|----------|------------------|-----------------------------------------|-----------------------------|------------|---------------|----------------|-----------|--|
| | | | | | | | | | | | (Institution) | | | |
| | Reg. ese. 76318.054
Inmate Name: EPSTEIN, JEFFREY EDWARD | | | | | | | | | | | | | |
| Teamtaseworker UNASSIGNED ADMISSION | | | | | | | | Regular UM . Ma:M.
UNIT MANAGER
' | | | | | Cell' MO | |
| Violation
PENDING CLASSIFICATION
or Reason: | | | | | | | | | Date
2019-07-07
Reed: | | | | | |
| | | | | | | | | | | | | Real:
19:20 | | |
| AdmMance | | | | | | | | | | | Time | | | |
| Authorized: | | | | | | | | | | | Rel.: | | | |
| Pertinent Information: N/A | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | |
| Separation Information: NIA | | | | | | | | | | | | | | |
| Special Housing Unit Cell Number: Z05-124 LAD
Inmate Is In: | | | | | | | | | | DS: | | AD | AD Status | |
| Is Inmate on Medication:
N
Medical Department Notified: | | | | | | | | | | | | | | |
| Date | Shift | Meals | | | SH | | Out of cell lime | | | Medical | | | | |
| | | B | D | S | | Exercise | (total) | | Comments | Staff Sign | | OIC Signature | | |
| | Morn | | | | | | | | | | | | | |
| | Day
Eve | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | |
| 0745.2019 Morn | | v | | | | | | | | | | | | |
| | Day | | | | | | | | | | | | | |
| | Eve | | | | | | | | | | | | | |
| | Morn | | | | | | | | | | | | | |
| | Day | | | | | | | | | | | | | |
| | Eve | | | | | | | | | | | | | |
| | Morn | | | | | | | | | | | | | |
| | Day | | | | | | | | | | | | | |
| | Eve | | | | | | | | | | | | | |
| 07.114019 | Mom | Y | | | | | | | | | | | | |
| 07.11.2019 Day | | | Y | | N | Ref | | | See 2nd page | | | | | |
| 07.11.2019 Eve | | | | y | | | | | | | | | | |
| 07.124019 MOM | | Y | | | | | | | | | | | | |
| 07.124019 Day | | | y | | | | | | an 2nd page | | | | | |
| 07.124019 Eve | | | | y | | | | | | | | | | |
| 07.114019 Morn | | v | | | | | | | a | .- | | | | |
| 07.134019 Day | | | v | | | | | | | | | | | |
| 07.11.2019 Eve | | | | v | | | | | | | | | | |
| | | | | | | | | | | | | | | |
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 (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)
Day shift comments: 07-11-2019 Health: Voices no medical complaints.
Day shift comments: 07-12-2019 Health: Voices no medical complaints.