16 LATHROP STREET - ODOR COMPLAINT CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,41H FLOOR
MAYOR TEL.FAx(978)741-1800
FAx(978)745-0343343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN,Q SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By: �
Complaint Number: 2358
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Address: Phone:
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Investigated By: Date:
Property Owner/Occupant Name Telephone #:
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