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6 Monroe Street Complaint 8-5-2019 tea;,wrra� CITY OF SALEM, MASSACHUSETTS � BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN0d,5AL.EM.COM HEALTH AGENT COMPLAINT INTAKE FORMC�r rnay�r�.s �A�c_o Date: 5 Time: Received By: Complaint Number: 2527 Complainant Address: �o fflonn-p- Phone:-1'� �- O Investigated By: Date: Property Owner/Occupant Name Telephone #: WIA ko-z 'SC - l In CW1 © ' —_