52 Tremont Street Apt. 3 Complaint 5-9-2019 a
CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH 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: t 1
Complaint Lben .2430
Complainant
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Investigated By: _ _ Date:
Property Owner/Occupant Name Telephone#: ____