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23 Phelps Street Complaint 7-26-2018
o8�r, G SIR CITY rOf,PSALEM, MASSACHUSETTS 1 xn BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMMNn,SALEWCOM HEALTH AGENT COMPLAINT INTAKE FORM Date: — Time: ,� _ Received By. L Complaint Number: 2202 Complainant Address: _ _ _ 'hone:_ Lop - _ - -- Investigated By: — — --- --Date: — --- --- _--- Property Owner/Occupant Name_ _ _ ____Telephone