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Name of Inmate On Suicide Watch or Psych Observation: r= 7 Registration #: 1£—OX EATING/SHOWER CHART iL lL =a SHOWER SHOWER mie t+ rte ee a ra oe a a ee ee eee 4) || a a ae ae ae a rs ee VA a ee a a ee a ee ee a rs rs a ee ee re ee Pe Ee EE! ET as ee FOE ee: oe A DOES ee SG EOE es eee eR) MAE Please check the appropriate box if the person on” Suicide Watch/Psych Observation actually éats his meal. Do not check the box if heyust r received it,. but did not eat it. Place a check in the “Liquids” box each time the person drinks. Thank you. CONFIDENTIAL | SONY 00008600 EFTA00033897

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