11 Church Street Pool Complaint 3-22-2019 ml 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 LRAMDIN SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
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Complaint Number: 2383
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Investigated By: _ _ Date:
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