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UNCLASSIFIEDIILAW ENFORCEMENT SENSITIVE (When Completed) <br />U.S. Department of Justice <br />United States Marshals Service Detention Facility Review <br />Date of Detention Facility Review (DFR) Name of Detention Facility Inspector Conducting DFR <br />F- -- 17 <br />FACILITY FACTS <br />FACILITY OVERVIEW <br />Facility Name <br />Physical Address <br />Phone Number Fax Number <br />City State Zip Code <br />County District <br />Contract/Agreement Number Contract/Agreement Type (Private, IGA, LUA) Expiration Date <br />Closest USMS Office Name <br />Driving Time from Closest Driving Distance from Date of Last USMS <br />USMS Office Closest USMS Office Detention Facility Review <br />minutes miles <br />Points of Contact <br />(If needed, use "Other Notes Section" on last page to document more than one point of contact.) <br />Title Name <br />Type of Contact Phone Number Extension Email Address <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 recipient(s). 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 />Page 1 of 22 <br />Form USM -218 <br />Rev. 07/21 <br />