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5 Grant Road 2nd Floor Complaint 6-11-2018
a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4r"FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By{�K70VI�Z GC�C� Complaint Number: 2148_ Complainant Ay)nC. Address: 2Piar'— Phone: Cp 0 " LIO " 219 q � CLOV�_ y� Investigated By: _ _ _Date: Property Owner/Occupant Name__ Telephone #: