1 - Location: Institution/Parole`Region _Log No Catego 1 1 APPEAL FGRM - . H, cocsoznz/an 2 2 - - You may appeal any policy, action or decision which has a significant adverse affect upon you. With the exception of Serious CDC 1155, classification committee actions. and classification and staff representative decisions, you must first informally seek reliefthrough discussion with the appropriate staff member, who will sign your form and state what action was taken. If you ere not then satisfied, you may send your appeal with all the supporting documents and not more than one additional page of comments to the Appeals Coordinator within 15 days of the action taken. No reprisals will be taken for using the appeals procedure responsibly. NAME NUMBER ASSIGNMENT NUMBER Mfncenf f/I A. Describe Problem: d(/Egfy'If' I I- ,//if -1,-if - fi -1 ,Sz -af lfvou need more space, attach one additional sheet. ay pgd?i B. Action Flequested: if 3--101' 4 6 f' `lInmate/Parolee Signature. Date Submitted. C. INFORMAL LE EL (Date ReceivedEcco tv' YU 2 Qi. i gif?i #Soo - Lil AJ oo~' i A c, cifcot' oo wt ct.-rwtarut is 5. OP, if . its Staff Signature: Tl I Date-_Returned to lnmate: o. FORMAL LEVEL lf you are dissatisfied, explain below, attach supporting documents (Completed CDC115,Investigator'S Fieport, Classification chrono. CDC 128, etc.) and submit to the institution/Parole Region Appeals Coordinator for processing within 15 days of receipt of response. '27-0 Me ,mf ai/fi?aa/= ?i?_fgg ?Signature: I Date Submitted: QQ Note: Property/Funds appeals must be accompanied by a completed CDC Appeal Number: - Board of Control form BC-1E, Inmate Claim /ef" ff Wag) 692 -- can/.2 Q47 749 7?c> dw/" /mek Q2 nz Ja/Mr?/azfdb .wyaf }0a/17 . If - Q//geared 26 6?/2042 no/4 &/wer /47 %ff 7 I 4 x4/Q/54 /1 if/vt/fi 0; yi /g lea/ ae/14/ fa- 50/ $14490 /*Rf ff (70/are 14/ f?fwf/J fr/ 7%c' ff/ ?49 ?f 7 a/ aye: 5? AQ 4' /ez If?m?af /wean ?vefe QQ#/eaf .ry?ffj Z-TE ?3 3%/Pre mea? aw fC' ?6/if - "1 A01 /fo /and gs 7?/9/5 /yo?cy fl ffm/ . zz My _#fm if if; fe /.rkc/PJ 0/if af/ c/ 0/ fra/- Je cyf/q/cf? /ff am/ ma/:def c/ef/'cs' 56 v? aff;/? c' far/Arr/ware, aff Kaya/vie awe/ frypef .Wd?ffq/, 04% aa/ fc/Q?a?/2% yea afgo/9/_r i f?ff fi' acl/ af/; r/ //fr/?fmvf QI /Je 37 /Viv; /Yew; Ama/ Kafh? in/a{f@ .2277-A r?r fda/ff, #gm fr? /7 af/cw 0/"a My ffr?c/ /ga/wf=af yan Ccye I /f/if /if av ve/, -ffm#-4 7/ Jaw: /mfr/. 9 ca . fi/gi' Gay/ 'ff/7/6425 /fe 50.2 . 5 J, _.uh [672 5 CALIFORNIA CORRECTIONAL INSTITUTION FIRST LEVEL APPEAL DATE: INMATE: Bruce, J-S4086 APPEAL Loc NUMBER: INTERVIEWED BY: R. Johnson, Correctional Lieutenant on November 29, 2006 APPEAL DECISION: GRANTED APPEAL ISSUE: Living Conditions APPEAL RESPONSE: to Appellant requests that inmates placed in ASU be given shoes and proper clothing. On November 29, 2006, Lieutenant R. L. Johnson interviewed the Appellant. The Appellant reiterated what was on his appeal and stated. Sergeant J. Martinez answered this appeal at the informal level and stated that every attempt will be made for inmates being placed in ASU will receive shoes during escorting. to i \ii?ilT"be Based on the above, this appeal is GRANTED at the First Level of Review. If dissatisfied, appellant may request a Second Level review by following the instructions on the appeal form. fl 3 gb avff ea aa ,i R- Dat I Date: ASU Lieutenant Captain Facility IVA, CCI Facility IV A, CCI