PSYCH OBSERVATION LOG Eeskin 163 ae 7 OBSERVATION ENDED: [10/19 ] Am >. “i ve PLEASE RETURN LOG TO PSYCHOLOGY AFTER “a “THE OBSERVATION HAS ENDED. Lae. GTHANK YOU. Caper tac 00 IN a Si Da Oe. OB tems auowen: lA ; fs Regular Clothes ae eave Safety Toothbrush heey op 4 Newspaper/Magazine ( Books (softcover only) ___ Safety Pen and Paper Toilet Paper Legal Mail Other "SW Blanket & SW Mattress must be used even on Psych Observations. "7 If nothing is checked with a silver marker, only a “8 Suicide Smock and Suicide Blanket are allowed. SDNY_00009558 EFTA00139365

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Name of Inmate On Suicide Watch or Psych Observation: ERE PSHein Registration #: ~ DATE BREAKFAST | LUNCH EATING/SHOWER CHART OFFERED RECEIVED SHOWER SHOWER Please check the appropriate box if the person on Suicide Watch/Psych Observation actually eats his meal. Do not check the box if he just received it, but did not eat it. Place a check in the “Liquids” box each time the person drinks. ‘ , Thank you. CONFIDENTIAL SDNY_00009559 EFTA00139366

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Cys" hy CPSteir SEU arch Ry Ait ~ “i A fi >). anh i a Ce Stern Stith Ow ~_ . ty tou Je eye). wn S40 Ort uy Qn . a: “se X, E poli of out ead O00" Epstein Sil Out jo ae “th Epsteyn Hb pif hy to VY @ pstin CGM ‘gus Se Dy ME Ty Cp decd NO bef 8 BY "hey SEM out By A ; NS. er Ejadlec SHR ge a a Peasietead C OMPANON Dirure Cr\¢ Gb" ae leate oo bie ore TAaAale Eoskand db 3\¥-6sy Whom Rye oe (ass SHI ook. de i ‘Tamale & ei \s s\\\ oor’ Ded \geb inmate. Eph = TSUST CA Le! Vile We! IRIE aonale Eeseio ‘s COTS | \GAdA Od yao? Tamale & e stew LUAS SIE aleno. See eka.-Dt aan nale & ested \s ski \\ Our = Od COM male an \S slil. oS Sell: NOD Orxjec—_a ISP make & Kpslew0 | IS Sath G4 TO dockom —1C Af cnmate Sf =ePs ste \Wast tne: > {Se “Tamas Coskein Anlkhs An’ dhe. per CONFIDENTIAL SDNY_00009564 EFTA00139371

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7 8 INMATE Epsrety 38 OJT.— ~~ «DM 37 IN MATE Epes TEIN IS OUT ———— dM 0 {S> Tua EF FE STEIN IS OUT a) MA 0 NMATE Epsrecn ts = QUT OM ENO OF SHELF ce ples A sir eta, | be ; pn Eley Eppley 763 Life TW ~ + Tle, Epphes yOu “Zo 770 Tea Faslone iy ro saat iz “7 Fo a i OT Ul mK Get C00 Tle atirnae ore 7 ars Acthes obeurtty Yad SE ST ST Om B90 hae Cains herpaosr! beers he wer >) Att (eae va ware Crsel TanTethas) ober tA ou “dy t: 00 Llu bho I 5 ew Hila brorT ebebrogy Ms! ey 1 Fpl, poh, iy Gs Lieing obo tOs te CONFIDENTIAL SDNY_00009566 EFTA00139373

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