School and Dunlap Streets Complaint 5-31-2019 CITY OF SALEM, MASSACHUSETTS
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BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,e"FLOOR
MAYOR TEL.(978)741-1800
FAX(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN S
HEALTH AGENT
COMPLAINT INTAKE FORM
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Date:. Received B
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Complaint Number: 2451
Complainant
Address: Phone:
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Investigated By: _ _ Date:
Property Owner/Occupant Name _ Telephone#: _