BP-A0292
APR 16


SPECIAL HOUSING UNIT RECORD

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS

<table><thead><tr><th rowspan="2">Date</th><th rowspan="2">Shift</th><th colspan="3">Meals</th><th rowspan="2">SH</th><th rowspan="2">Exercise</th><th rowspan="2">Out of cell time (Total min/hrs)</th><th rowspan="2">Comments</th><th rowspan="2">Medical Staff Sign</th><th rowspan="2">OIC Signature</th></tr><tr><th>B</th><th>D</th><th>S</th></tr></thead><tbody><tr><td></td><td>Morn</td><td></td><td></td><td>S</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Day</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Eve</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-08-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Day</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Eve</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Morn</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Day</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Eve</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-11-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-11-2019</td><td>Day</td><td></td><td>Y</td><td></td><td>N</td><td>Ref</td><td></td><td></td><td>See 2nd page</td><td>JOAQUIN, YEMAEL AN</td><td></td></tr><tr><td>07-11-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-12-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-12-2019</td><td>Day</td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td>See 2nd page</td><td>JOAQUIN, YEMAEL AN</td><td></td></tr><tr><td>07-12-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-13-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-13-2019</td><td>Day</td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-13-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr></tbody></table>

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) 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 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.

EFTA00106555

| | Day shift comments: |
| :--- | :--- |
| 07-11-2019 | Health: Voices no medical complaints. |

<table><thead><tr><th></th><th>Day shift comments:</th></tr></thead><tbody><tr><td>07-12-2019</td><td>Health: Voices no medical complaints.</td></tr></tbody></table>

EFTA00106556



BP-A0292
APR 16


SPECIAL HOUSING UNIT RECORD

U.S. DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS

<table><thead><tr><th rowspan="2">Date</th><th rowspan="2">Shift</th><th colspan="3">Meals</th><th rowspan="2">SH</th><th rowspan="2">Exercise</th><th rowspan="2">Out of cell time (Total min/hrs)</th><th rowspan="2">Comments</th><th rowspan="2">Medical Staff Sign</th><th rowspan="2">OIC Signature</th></tr><tr><th>B</th><th>D</th><th>S</th></tr></thead><tbody><tr><td>07-14-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-14-2019</td><td>Day</td><td></td><td>Y</td><td></td><td>N</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-14-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td>N</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-15-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-15-2019</td><td>Day</td><td></td><td>Y</td><td></td><td>Y</td><td>No</td><td>01:00</td><td>See 2nd page</td><td></td><td></td><td></td></tr><tr><td>07-15-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-16-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-16-2019</td><td>Day</td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td>See 2nd page</td><td></td><td></td></tr><tr><td>07-16-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-17-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-17-2019</td><td>Day</td><td></td><td>Y</td><td></td><td>Y</td><td>Ref</td><td>01:00</td><td>See 2nd page</td><td></td><td></td><td></td></tr><tr><td>07-17-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-18-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-18-2019</td><td>Day</td><td></td><td>Y</td><td></td><td>N</td><td>Ref</td><td></td><td></td><td>See 2nd page</td><td></td><td></td></tr><tr><td>07-18-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-19-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-19-2019</td><td>Day</td><td></td><td>Y</td><td></td><td>Y</td><td></td><td>00.15</td><td>See 2nd page</td><td></td><td></td><td></td></tr><tr><td>07-19-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-20-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-20-2019</td><td>Day</td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-20-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td>N</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr></tbody></table>

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) 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 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.

EFTA00106557

<table><thead><tr><th></th><th>Day shift comments:</th></tr></thead><tbody><tr><td>07-15-2019</td><td>Health: Voices no medical complaints.</td></tr></tbody></table>

| | |
| :--- | :--- |
| 07-16-2019 | Day shift comments: Health: Voices no medical complaints. |

| | Day shift comments: |
| :--- | :--- |
| 07-17-2019 | Health: Voices no medical complaints. |

<table><thead><tr><th></th><th>Day shift comments:</th></tr></thead><tbody><tr><td>07-18-2019</td><td>Health: Voices no medical complaints</td></tr></tbody></table>

| | |
| :--- | :--- |
| 07-19-2019 | Day shift comments: Health: Voices no medical complaints. |

EFTA00106558



BP-A0292
APR 16


SPECIAL HOUSING UNIT RECORD

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS

<table border="1"><tr><td colspan="2"></td><td colspan="3">NEW YORK MCC
(Institution)</td></tr><tr><td colspan="2">Inmate Name: EPSTEIN, JEFFREY EDWARD</td><td colspan="3">g. No. 76318-054</td></tr><tr><td>Team/caseworker:</td><td>UNASSIGNED ADMISSION</td><td>Regular Unit:</td><td>5UNT MGR.NEXT 6421/6301</td><td>Cell: 5</td></tr><tr><td>Violation or Reason:</td><td>N/A</td><td>Date Rec&#x27;d:</td><td>N/A</td><td>Time Rec&#x27;d: N/A</td></tr><tr><td>Admittance Authorized:</td><td>N/A</td><td>Date Rel.:</td><td>N/A</td><td>Time Rel.: N/A</td></tr><tr><td colspan="5">N/A</td></tr></table>

Pertinent Information: N/A

<table><tr><td>Special Housing Unit Cell Number:</td><td>H01-001L</td><td>Inmate Is In:</td><td>N/A</td><td>DS:</td><td>N/A</td><td>AD Status</td></tr></table>

<table><thead><tr><th rowspan="2">Date</th><th rowspan="2">Shift</th><th colspan="3">Meals</th><th rowspan="2">SH</th><th rowspan="2">Exercise</th><th rowspan="2">Out of cell time (Total min/hrs)</th><th rowspan="2">Comments</th><th rowspan="2">Medical Staff Sign</th><th rowspan="2">OIC Signature</th></tr><tr><th>B</th><th>D</th><th>S</th></tr></thead><tbody><tr><td>07-21-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-21-2019</td><td>Day</td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td rowspan="4"></td><td rowspan="4"></td><td></td></tr><tr><td>07-21-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-22-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-22-2019</td><td>Day</td><td></td><td>Y</td><td></td><td>Y</td><td>No</td><td>01:00</td><td></td><td></td></tr><tr><td>07-22-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Morn</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Day</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Eve</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Morn</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Day</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Eve</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Morn</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Day</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Eve</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Morn</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Day</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Eve</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr></tbody></table>

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) 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 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.

EFTA00106559



BP-A0292
APR 16


SPECIAL HOUSING UNIT RECORD

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS

<table><thead><tr><th rowspan="2">Date</th><th rowspan="2">Shift</th><th colspan="3">Meals</th><th rowspan="2">SH</th><th rowspan="2">Exercise</th><th rowspan="2">Out of cell time<br>(Total min/hrs)</th><th rowspan="2">Comments</th><th rowspan="2">Medical Staff Sign</th><th rowspan="2">OIC Signature</th></tr><tr><th>B</th><th>D</th><th>S</th></tr></thead><tbody><tr><td></td><td>Morn</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Day</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Eve</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-29-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>Day</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-29-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td>N</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-30-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-30-2019</td><td>Day</td><td></td><td>Y</td><td></td><td>N</td><td>Ref</td><td></td><td></td><td>See 2nd page</td><td></td><td></td></tr><tr><td>07-30-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td>No</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-31-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>07-31-2019</td><td>Day</td><td></td><td>Y</td><td></td><td>Y</td><td>06:30/07:30 D</td><td>02.00</td><td></td><td>See 2nd page</td><td></td><td></td></tr><tr><td>07-31-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>08-01-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>08-01-2019</td><td>Day</td><td></td><td>Y</td><td></td><td>N</td><td>Ref</td><td></td><td></td><td>See 2nd page</td><td></td><td></td></tr><tr><td>08-01-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td>No</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>08-02-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>08-02-2019</td><td>Day</td><td></td><td>Y</td><td></td><td>Y</td><td>No</td><td>01.00</td><td></td><td>See 2nd page</td><td></td><td></td></tr><tr><td>08-02-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td>No</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>08-03-2019</td><td>Morn</td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>08-03-2019</td><td>Day</td><td></td><td>Y</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>08-03-2019</td><td>Eve</td><td></td><td></td><td>Y</td><td>N</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr></tbody></table>

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) 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 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)

Prescribed by P5270

PDF

This form replaces BP-292(52) dated AUG 2011.

EFTA00106560

| | |
| :--- | :--- |
| 07-30-2019 | Day shift comments: Health: Voices no medical complaints. |

<table><thead><tr><th></th><th>Day shift comments:</th></tr></thead><tbody><tr><td>07-31-2019</td><td>Health: Voices no medical complaints.</td></tr></tbody></table>

| | Day shift comments: |
| :--- | :--- |
| 08-01-2019 | Health: Voices no medical complaints. |

| | Day shift comments: |
| :--- | :--- |
| 08-02-2019 | Health: Voices no medical complaints. |