> } ; f t Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: a) 1 ic . (9) Suic To be completed by Chief Psychologist at conclusion of watch: Booklet \ of ji . Qa 2 _—?/ Ww @ = a. Register #: (eo) = — WY QP 2 7) 16314 -OSt = 2530 WMoecrgy Institution: ee c © ce wAmMe s .// <a EeowwY >~ SEG Date Watch Began/Ended =! 22a z 5 '5 6 nn a SWCL - Tampons or Foam Belt/Napkin § c o 2 © 2 cz: . 9 a Oo ae Cc 7) Oo ssc “A x INMATE EFTA00122765

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STAPLE LOCAL PROCEDURES HERE Check one of the following: 0 This is the initial log book for this suicide watch. Enter date and time watch began: _ ra This is a continuation log book for this watch. Enter date and time this watch book was initiated: -23-04 1. d0am © Instructions to Observer: Document your observations every _\Sy minutes. Legibly print and sign your name at the beginning of your shift. EFTA00122766

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PP37 OX Page 1 of | —— ee ) NYMBJ 531.01 * INMATE HISTORY * 4. 67-24-2019 PAGE 001 OF 001 * MED DY ST * 12:32:30 REG NO..: [76318-054 NAME....: EPSTEIN, JEFFREY EDWARD CATEGORY: [MDS FUNCTION: [0IS 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 * 7/24/2019 EFTA00122767 https://bop.tcp.doj.gov:9049/SENTR Y/J1PP160.do

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Suicide Watch Observation Log Name of |nmate ..—= 7 : On watch: VALDNLGA7 __- _ Reg #: 2S/& ~OFF— Date: Observations: Briefly note your observations. Initial all entries. | nitiats . | D y, dhe pate A AD LS Lh KX! | Zatn CA OL ay BI at Oy Aa: tEET L7 7 Ls at AOI ECL ON or Cf 300m |UnauO Erion 5 ecThiy on | A 2 = alt = Ae Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00122768

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walsTe £4.44055 war NST Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00122769

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on watch: p= ft, Reg #: VK—VUSS- Dates 7 ZS / | time | Observations: Briefly note your observations. Initial all entries. | initials | 10200 Zagat Epshoin ) x pecivg ariluad — |O= 2, Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00122770

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Suicide Watch Observation Log Name of Inmate } . ‘we nay GA9 PS — (225 P58. (0 ! PTCA la S| Dla GPS¥ew igns Rehnod Caw GOA $7.20 |. Tim GRSlenw \S WwW - AGut ole Pa SS. M_€PTE ns 1s AKKWS Rat Frene 20 oo aa ww, 2g; \ =>}. : F Dw EP iC WL BBA PAPA D045 2A e wo F = : Uses — x Me & WAS ASUUS —— — | crynenpeee me 2\ 530 Ae erty Sp Re? otc}. Wie e « x 1 Low Tim GCPsters DEC De TO LH domyn eT “yy bad . = i — 5 . + 7 2lus ~~ S CE Becner BURT} * D 223 | Dum besten RS fy Ge soos ——t =r Pe Exo suatt F1e Tava BYR BR 2 Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00122771

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Suicide Watch Observation Log 7 a : 7 : u : ) ~ -* : Name of Inmate on watch: ~ M PAYAL ) ed 1G RA. an fella dpalh ce fe 1}5>p nal Stato oll sgt oH } , iS 5 UE A AM llamates ISTE WEY) meas Ni pS e pas EE... = APA Aistiosund Ca TE a <a \\ Ld fal Cam eb biwute EF PSTEN ise ening: merego ARN 2 E ; t A f ~* 25am lamate SOSTEIN cclecbinghe—> ABN < ea * Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00122772

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Name of Inmate Suicide Watch Observation Log 5 om Ob%0s ob O Sam Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00122773

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Din Reg #: 753\4- OF Date: 7/24/;9 Observations: Briefly note your observations. Initial all entries. | initials | awe. ke Wm 05 & OWS. ym =n alyests , ve _ Slee, ©7000. 1m 1004 A, Urb we “2 £p) "aM ae Dy. stepeed | UM ¢ pete jn lau) A Ko (NOST bb SOE </ Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00122774