Loring Towers Unit B42 Complaint 7-25-2019 4-6,
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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 LRAMD1NPSALEM.00M
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: ' Time: ' ,—P , 22,1 Received By: 'S
Complaint Number: 2506 _
Complainant_
Address: Phone:
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Investigated By: _ _Date:
Property Owner/Occupant Name_ Telephone #: __ _