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an it-nraisaanasatraViiC•C warraliflaas OBSERVATION STARTED: 7/?)19 ')i9( a PH PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE OBSERVATION HAS ENDED. THANK vnu. ITEMS ALLOWED: Regular Clothes Safety Toothbrush M i Newspaper/ Ma ne Books (softcover only) Safety Pen and Paper Toilet Paper Legal Mail Other SW Blanket & SW Mattress must be used even on Psych Observations. .d If nothing is checked with a silver marker, only a Suicide Smock and Suicide Blanket are allowed. UUNHULN I IAL SDNY 00010980 EFTA00139536 Name of Inmate On Suicide Watch or Psych Observation: Registration #: 1(03 IX-(1)5t/ EATING/SHOWER CHART Erk n DATE BREAKFAST LUNCH DINNER LIQUIDS OFFERED SHOWER RECEIVED SHOWER 3-71 16 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. CONFIDEN