Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: & x a. c . = Enithcin ag 2 ow = ¢ e Register #: oO: < € =~Y% ~_fet 36 . Mm 6c rPruvwact ye Institution: > & © 2” 3 ra) wAMSesG5o4 Mee ey Boar E >See gecae Date Watch Began/Ended =! GO ‘6 ‘OG ao ¢ fs 5505S 56 WANA wHE To be completed by Chief Psychologist at conclusion of watch: Booklet _\_ of | _ SWCL - INMATE — EFTA00120182

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STAPLE LOCAL PROCEDURES HERE Check one of the following: Oo This is the initial log book for this suicide watch. Enter date and time watch began: mw This is a continuation log book for this watch. Enter date and time this watch book was initiated: 1-22-04 1 a0am Instructions to Observer: to Document your observations every IS) minutes. Legibly print and sign your name at the beginning of your shift. EFTA00120183

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PP37 Page 1 of | NYMBJ 531.01 * INMATE HISTORY * cae 07-24-2019 PAGE OO1 OF 001 * MED DY ST * 12:32:30 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 G0005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED https://bop.tep.doj.gov:9049/SENTR Y/J1PP160.do 7/24/2019 EFTA00120184

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PP37 NYMBJ 531.01 * PAGE 001 OF 001 * REG NO..: {76318-054 NAME....: CATEGORY: MDS FUNCTION: FCL ASSIGNMENT DESCRIPTION NYM NOT MED CL NOT MEDICALLY CLEARED NYM SUIC WATCH SUICIDE WATCH INMATE HISTORY * MED DY ST * EPSTEIN, JEFFREY EDWARD [DIs FORMAT: [ Page 1 of 1 07-24-2019 12:32:30 START DATE/TIME STOP DATE/TIME 07-06-2019 2124 CURRENT 07-23-2019 0140 07-24-2019 0845 G0005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED https://bop.tep.doj.gov:9049/SENTR Y/J1PP160.do 7/24/2019 Name of Inmate Suicide Watch Observation Log 4 “Xn - oF ts GyE tht ALC Rimiticn \~ 2 AA, CAL 2) Fle Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00120185

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Suicide Watch Observation Log Name of Inmate 6 | f “OS F date:O7- 23 VG on watch: 74 Reg #: | time | Observations: Briefly note your observations. Initial all entries. | initia's | LttNta OU = “ 4 A ATHIVGAA/ Z oneal Eprtem asbedser Hu tine — | 6€- 4 4 ah WY) 47 Py Tt A 2 rev Fi a O - 0-00 astein asker +o “specie tu ania = = 2 ot e7 Me fE7 £2 Pa 5 a FILE lomak ExShonisawhing pate — | oe Note to all observers: Legibly print and sign your name at the beginning of your shift. a (OFSG Suicide Watch Observation Log (la rr (bpp bn ta te Lj NaS He, & wy axe Note to all observers: Legibly print and sign your name at the beginning of your shift. CE EFTA00120186

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Py, WrAaL £F5£IL Ls +2 ~~ Pr Lihat Fe ASX lL Zi Zi lA = tl © EPSTEN BN orl & 60 I~ 23-15 19° 'S Dl GPs kas Ubved Giw C6OAC bey: 20 |. rim GPSlw \S ruc Cet Pele, o es A SPsbern AX Dim EP a 6G bec a >t ES A WAS - m EPste. SEUSS WO Chsom DNS Ape Dim 4estews US tebicwg PRuT Grance op Ulevoe Dim ESSie. iS Leng BBOUT THe Phsov ‘S te —_—_-_ TL. oo Tim Stes DEC Oc TO L411 ob Qin or } ' ‘ L Zev. Dim tesser BePcens tw Re Soon Q 22:30 Tw 62 se. Goes Se Koo 7 Note to all observers: Legibly print and sign your name at the beginning of your shift. Name of Inmate on watch: » PS Tt ( Suicide Watch Observation Log te : { . . 5: Sais ak C J 4 WS5¢m [I nweste, EPS anak Fy : 7 o5 \2e%m, ste p< Suing downN=———+1 20 AO 250m _linmate EPSTEIN is sega ing ft —_——_— a Beam tet so uads—— 4-3 Am vate Estat 2 sleeping UJ) 249m ltroundss CZ" J A Iam l|nato, FPSTEIN Vc sleeping-———_ IPD ‘Baw | |amsto EPSTEIN is sleeping ——-—_ RIS mt ATO =I \ (a rl Wam lEnd OF ahift———— Ri) Epstein sn Col Y ot ths time (As 5 EFTA00120187

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Suicide Watch Observation = L® ea Joee w ne lost 00 Q ONS OF ON Aor YogSace adeins J] YymMu no) ne Ke Sing an Anu VUd vr, Note to all observers: Legibly print and sign your name at the beginning of your shift. Suicide Watch Observation Log Pie ene ese Obr0am |D\m & ion agPeacs 4, SleePlan ot is awe te wm OWS om 1 Edsten algeass ©7290. mr se Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00120188