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UNCLASSIFIEDIILAW ENFORCEMENT SENSITIVE (When Completed) <br />Housing <br />Are single cells a minimum of 56 square feet? <br />Yes (— No <br />Are double cells a minimum of 72,5 square feet? <br />(' Yes (, No <br />Does the facility triple bunk or use boat beds? <br />(- Yes (' No <br />How many times did the facility triple bunk or use boat beds since the last USMS DFR (if applicable)? <br />Personal Hygiene <br />Are the following available at no cost: <br />Soap? <br />C Yes <br />C' <br />No <br />Toothpaste? <br />C` Yes <br />i <br />No <br />Razors? <br />C Yes <br />f <br />No <br />Shampoo? <br />(, Yes <br />(' <br />No <br />Sanitary Napkins? <br />C Yes <br />C <br />No <br />Tampons? <br />(— Yes <br />C <br />No <br />Do all prisoners have 2417 access to an operable <br />toilet? <br />C' Yes (, No <br />Do all prisoners have 2417 access to a washbasin with hot and cold running water? <br />(, Yes (' No <br />Physical Facility and Equipment <br />Is the facility kept clean and in good repair? <br />I Yes (' No <br />Is all facility equipment in proper working order? <br />(' Yes (' No <br />Is there any evidence or sign of mold? <br />C Yes (, No <br />Is there any evidence or sign of insects? <br />(' Yes C No <br />Is there any evidence or sign of rodents? <br />C Yes C' No <br />NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTIAL information <br />which is for the sole use of the intended recipients}. Any unauthorized review, use, disclosure. or distribution is prohibited. If you are not the intended <br />recipient, please contact the sender and destroy all copies of this document. Any Protected Health Information contained in this document is to be used <br />only to aid in providing healthcare services to federal prisoners. Any other use is a violation of Federal HIPAA Law and/or the Privacy Act and will be <br />reported as such <br />UNCLASSIFIEDIILAW ENFORCEMENT SENSITIVE (When Completed) <br />Form USM -218 <br />Page 17 of 22 Rev. 07121 <br />