Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: Register #: 14314 <OSt Institution: MNICC Date Watch Began / Ended To be completed by Chief Psychologist at conclusion of watch: Booklet | of |__ INMATE

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STAPLE LOCAL PROCEDURES HERE Check one of the following: o This is the initial log book for this suicide watch. Enter date and time watch began: 6 This is a continuation log book for this watch. Enter date and time this watch book was initiated: 1-22-04 00am Instructions to Observer: Document your observations every pa bona minutes. Legibly print and sign your name at the beginning of your shift.

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https://bop.tep.doj.gov:9049/SENTRY/J1PP160.do 7/24/2019 PAGE 001 OF vuL REG NO..: {76318-054 NAME....: EPSTEIN, JEFFREY EDWARD CATEGORY: [MDS FUNCTION: [DIS FORMAT: [ FCL ASSIGNMENT DESCRIPTION START DATE/TIME STOP DATE/TIME NYM NOT MED CL NOT MEDICALLY CLEARED 07-06-2019 2124 CURRENT NYM SUIC WATCH SUICIDE WATCH 07-23-2019 0140 07-24-2019 0845 60005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED EFTA00108433

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Suicide Watch Observation Log Name of Inmate . / : reg: 7263/8 pate: 7/23 //4 Observations: Briefly note your observations. Initial all entries. | initiats | 9 thor AIFS J le Pm — Mw a a A ae be! A lt it bn Le: F EFTA00108434

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Suicide Watch Observation Log N lame of Inmate £2 le fey —a Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00108435

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Observations: Briefly note your observations. Initial all entries. LLLIFi 7] [25 LAviat iz, {> {py nil) FE WOm (Lhmak +P Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00108436

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Suicide Watch Observation Log Name of Inmate . . a tee os PSTEIN « *) trea VL 31%-O5Y dae 7/23//q _| | time | Observations: Briefly note your observations. Initial all entries, | initiats | z pte? Re lel Oem | mache FASTEN 15 sleeping ——- IRN lama EPSTELA sleepin —— > BN Nero oer EPSTEIN Is slept Pisa LR AM AMA e4)) ‘pil aa i] aval ERS Nisawakb = Ih K R24 asthe EPSTEIN 5-3 he oDing ———= = AF 2% M_llamate EPSTEIN Ta 6 ew, ——— RT HAM Katt co undg——+ =< f——___ fF oO Ve) Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00108438

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Suicide Watch Observation Log P) Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00108439

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Suicide Watch Observation Log N f onwatch: EOStEiN Reg #: 753\4- O5Y _ pate: 7/a4//9 Observations: Briefly note your observations. Initial all entries. Time Ob 0am |D\m Byrtern appens 4, be Sleep at tis Obs, Lm ©7090. 1m a] [| ” CED t . C a CN wa i) . fewina Wt ¢pseint DD a ms OO U Dp Idledale FO Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00108440

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Suicide Watch Observation Log » Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00108441