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84-86 HIGHLAND AVENUE - TRASH COMPLAINT CITY OF SALEM, MASSACHUSETTS " .t BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR FAx(978)745-0343 LARRY RAMMI,RS/REHS,CHO,CP-FS LRAMDINOISALEM.COM HEALTH AGENT r COMPLAINT INTAKE FORM Date: `�la r Time: �a� Received By: r YV Complaint Number: 1847 Complainant s �`Vi a``' Uh.'� P(�%hbo �hOkS C 4 9C /hghlard 19ve Address: Phone: _ i y 4 'C Investigated By: J �71`�1 0 Date: �bollo Property Owner/Occupant Name X (t Telephone (� j vd C1 J. 1' t S 1 1 ;e b� CITY OF SALEM, MASSACHUSETTS - BOARD OF HEALTH r•. KIMBERLEY DRISCOLL 120 WASHINGTON STREET,47"FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRYRAMDIN,RS REHS,CHO,CP-FS LRAMDINOISALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM 1 ' Date: 7 Time: %! r Gtt Received B +, Y .� Complaint Number: 1844 Complainant i Address: r 5 Phone: Investigated By: Date: Property Owner/Occupant Name Telephone #: �,mrr,�\ f>, " ; CITY OF SALEM, MASSACHUSETTS 0y� a �_>„��� BOARD OF I1EALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDI'_V,RS/REHS,CHO,CP-FS LRAMDIN(a SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: - Time: Received By: - Complaint Number: 1845 Complainant -- Address: Phone: Date: + Investigated By: Property Owner/Occupant Name Telephone #: I Vo V�7 �� �� rnca� , " ta.Krn , CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"'FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRYRAMDIN,RS/REHS,CHO,CP-FS LPAMD1N(aSALE.M.CO HEALTH AGENT COMPLAINT INTAKE FORM Date: A Time: Received BY: - e)!�V Complaint Number: .1 846 Complainant Address: Phone: 'nap kxve- j3nr�'J I e. bLA Investigated By: Date: Property Owner/Occupant Name Telephone #: CoAJO I j J-f p & j)4 I fl rd, C--),�Iil i !he{, i" K&-cc j J ✓ i",)r I CJ (,I n,Z21 a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,471'FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 `�-- LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(a-1SALEM.00M HEALTH AGENT COMPLAINT INTAKE FORM Date: � Time: Received By: Complaint Number: 1865 Complainant -'; "7`-4) ) )" A i Y f"`�S ��P-�''f� 11 1 i i Address: ; �� �en w* � �Q�' Phone: Investigated By: ,-,' !'uQ}i Date: i-2 2-! Property Owner/Occupant Name ,t i e e 1 -G- 1-1 YES Z._Telephone #: 7Gj'1 i 1�Yl( U[�h-�� (rY1 � � ,aW 1 Y soV• / .Ji r UL`- 1!!��Il��l7� r1�P l•� f'2P f' , �Q l,� L���';- � � L ,YI 4 ��Pi'1CQ�;�. �`� _�'�l/c� io s h J( 5�,- CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T'FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIN,RS,REHS,CHO,CP-FS LRAMDINC0�.SALEM.00M HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received Complaint Number: 1836 Complainant Address: Phone: LCyr, /2 n n r L m 5 +1 Aar A Jrie,,er.4�j �r I)fie of �Afl nC,-�_ Q S rA r .. V rk K C 4R, 4. r n4 kri ottl I n :3 LA Kc P"0 �f-,og 4 C01 0 A C 0 or n C4 4 T, Investigated By: Date: Property Owner/Occupant Name Telephone fb s CITY OF SALEM, MASSACHUSETTS w ��J,V,NT BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,e"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY FLkNIDIS,RS/REHS,CHO,CP-FS LRAMDINia SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: �/ t Time: , � �. Received By: Complaint Number: 1833 Complainant L G Address: _ l` 5 t 1 JI�R Phone: Q - gel el-fl�� LHJ - i 5 G A. S G 0,jc u �, Investigated By: Date: Property Owner/Occupant Name Telephone T Ln w+ n j b e j A, erva - CITY OF SALEM, MASSACHUSETTS \g W{} i rn�� BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDLN,RS/REHS,CHO,CP-FS LR4MDIN'W'SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM a Date: �','!��, +�rI_'-.`1 t Time: _ ,a`..'(� �r Received By: Complaint Number: 1837 Complainant L ;(ih o L, 4 Address: Phone: C , t I r..' J a r I , 90 as f Cc Investigated By: ' t `n k o Date: Property Owner/Occupant Name Telephone #: oS 2 - v\j G c l 1'1 c i t O r N, Y CITY OF SALEM, MASSACHUSETTS na.i+�fi BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAN1DIN,RS/REHS,CHO,CP-FS LRAVIDIN('SALEVI.COVi HEALTH AGENT COMPLAINT INTAKE FORM � 3 Date: Time: Received By: Complaint Number: 1841 Complainant l �(Il'� n //p Address: I f-reS4— Phone: Investigated By: J , �► (/(�l Date: /�;o" r (� Property Owner/Occupant Name Telephone#: a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR MAYOR (978)741-1800 FAx FAx(978)745-034343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDI ((-VSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Time: j Received B �1 Date: Y� Complaint Number: 1840 f Complainant Address: ' `: v";t 4 o '51 (0 LC)Y1 o! I� . Phone: �F ��� (� ( Lt) r �— G r\ t._ :i �• �' of , 0 r LL 5 a WP! Nv vti:uhnf ,nSpechon lnl10 Investigated By: 31 1+D j i' n k o Date: Property Owner/Occupant Name Telephone #: CITY OF SALEM, MASSACHUSETTS �ve� BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR MAYOR TEL.(978)741-1800 1 FAx(978)745-0343 `J LARRY RAMDRI,RS/REHS,CHO,CP-FS LRAMDFNr&SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM ? i . Date: r4 119 QQ Time: Received By: h.1'E Complaint Number: 1857 Complainant Address: /3(Q Q+� ! f( '.,� Phone: / - %&eE Investigated By: i Date: �l / Property Owner/Occupant Name Telephone #: t a 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,REIIS,CHO,CP-FS LRAMDIVrfSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: (O Time: Received By: S, op 11 A(G t) Complaint Number: 1831 Complainant Ann on u mlx� S au �Y Address: ! e - DQ; S fr P f' Phone: ram, mP� -arf)42I0(/e rJ Sri ( 1S �C' c fh P hL-)u 5e / s ve, v- n GI Y!5,a n k)e 5'cc,u5 -�.- YL& Cl a l a+v V"N G�.rlr4 ��,V, aE ; k 7Be.h I n 4 -D 15 H uxx� SM et ( 5 V'0 54? Q � -w since edV �w !lf) l e Investigated By: Date: Property Owner/Occupant Name Telephone #- a 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(d-SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: '-' 6, Time: Received By: Complaint Number: 1827 Complainant Address: �-�3�o trx !. Phone: l 1 f� 0-� -ral� Investigated By: r r, ,. Date: Property Owner/Occupant Name Telephone #: ��i CITY OF SALEM, MASSACHUSETTS 0 BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMD1N,RS/REHS,CHO,CP-FS LRA DIN,-SALEM.CO'M HEALTH AGENT COMPLAINT INTAKE FORM Date: Time. Received By: Complaint Number: 1828 Complainant 7 1 -7 Address: Phone: j, P if Investigated By: cir C Rf"' C' Date: Property Owner/Occupant Name Telephone #: -fl)c r2 I`n k)e Z L I;- 1r) irksf 2-c"i, 4 /VO I f-f 't �p ? m CITY OF SALEM, MASSACHUSETTS �ie xmnc�� BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"'FLOOR MAYOR (978)741-1800 FAX FAx(978)745-034343 10 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINftFiSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: -5 Received By: N._ � � �r�.H 010 Complaint Number: 1822 Complainant nn Address: ll �c_^r o '� 1�- 0 Phone: r cx—d Investigated By: �j (� (a �? ( ' Date: T f J! Z 2!)l�e Property Owner/Occupant Name �y e� S(j Telephone #: 9 7,19 1 q %;o(P . 2( i n st)P( 4W(A � H)XfdV M V �I�J Q 6c.. r� -1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �tlflln'�/ KIMBERLEY DRISCOI.L 120 WASHINGTON STREET,4T}3 FLOOR MAYOR TEL.(978)741-1800 S FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRANiDINOa SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM �� Date: �!J Time: Received By: Complaint Number: 1819 Complainant Address: ,. `'` Phone: Cj J Investigated By: - ; 0 S V Date: Property Owner/Occupant Name // Telephone #: r11 1r�. l�:�r. l d, /l Jfol CITY OF SALEM, MASSACHUSETTS BOARD OF 11EALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4r'FLOOR MAYOR (978)741-1800 FAx FAx(978)745-0343343 LARRY RAMDIN,RS/REHS,CHO,CP—FS LRAMDI?I(i�SALEM.COM HEALTH AGENT i COMPLAINT INTAKE FORM Date: I. , b Time: Received By: Complaint Number: 1820 Complainant ' Address: lFY%,-f Phone: - �. _ •fir/ Investigated By: !t-'t, Date: Property Owner/Occupant Name Telephone #: i •�. rii ^ f ' 1 r e t r j a '=, x CITY OF SALEM, MASSACHUSETTS `\`;;;�" BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR MAYOR (978) -1800 FAx FAx(978)745-0343343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINPa SALEM.COM _. HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: 1 � � 5 V 14(Y I Received By: Complaint Number: 1817 Complainant �.„ YU } ( (' -e1Q()0 Address: )(p S-- P 2k Ur i 4 Phone: j e�Ci t1 �z +ri C. r ( SGl t P W Q u�ot k" n!;� �e nn 1'Yio� Ccq ` nn rgiA. nec nog er Investigated By: Date: Property Owner/Occupant Name Telephone #: ' ---- ° ;• i /, __�n t }- ",".•� I/1� f( i � � r. r'i =.�� /✓ter' 1 1 Na: � CITY OF SALEM, MASSACHUSETTS *s BOARD OF HEALTH 'yLrym�KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDN,RS/REHS,CHO,CP-FS LRAMDI! SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: l a ' .�` Time: J 301 Received By: Complaint Number: 1818 Complainant Address: t9JCX U PP_ fio� Z ( Phone: Cj 7 Z� - 1C/ I �? J Investigated By: Date: �1 6 /12�, r, v Property Owner/Occupant Name � � Telj�hone #: <, ) CITY OF SALEM, MASSACHUSETTS �6� BOARD OF HEALTH KIMHLRLEY DRISCOLL 120 WASHINGTON STREET,4T13 FLOOR {� MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDN,RS(REHS,CHO,CP-FS LRA.MDIN,d SALP,M.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: ". Received By: Complaint Number: 1815 a _ Complainant i ► 'i�; . Address: Phone: a � Investigated By: Date: Property Owner/Occupant Name Telephone #: I i �r .� c7 �d ✓7 a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4`H FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN@SALEM.COM HEALTH AGENT A COMPLAINT INTAKE FORM Date: ;'' ?> _ ;`;. Time: �,� Received By: ( i��_ a y Complaint Number: 1814 Corrlplihant` , n �► '� J Address: 1 Phone: ALc A11V S�rcfl U in,n n r, 4 l . A 14 11" r)jj tti , l 1 w r) n +b z-�(trx-1 o r c4 eA s -(,r c-n-nec v, v ► c h cD n s Investigated By: �;> E k Date: 7 A0 1V )0.'20 ( �n Property Owner/Occupant Name � 't KICr P Cl 1'Jr'n �� Telephone #: rnt j-n i ( t pct Q rrn( BUD (A) CY I r l ,Q CCjL tf)Ci I I O r , 14 r[,I} h e r- V-C, r-n ( �`) N 0 0Pr It (G 1f r)-f 00 gi i e JILL, ��2sz�a to - �a 1\P c� CIS u C{�a 1 n d1G1►r<PP i � ��� 4,D iu, C 66( rc,s 1 n-Po . N �o -Phone n u m wr w �; �� ��' oi. n-p-lr OV ancoVet � rf btitC> �'P( 1.1 ! ill �� Otl y�z(o�)� �'��"�,i t y� n , ' �, �+ �y r_;. , ',', � � 1030 Prm " (G l l t?C� of) P . A C)nsvP L(W+ Y(.) 1 (0ry)c yCN:MLj + �= CITY OF SALEM, MASSACHUSETTS .,,,;,;rJ� BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4r'FLOOR MAYOR (978)741-1800 FAx FAx(978)745-0343343 LARRY RAMDN,RS%REHS,CIIO,CP-FS LRAMDN�'SALEM.COM HEALTH AGENT l COMPLAINT INTAKE FORM Received B Date: � . Time: �._)�y�,.. y. Complaint Number: 1813 Complainant ( -7 Ci r l 7�c� c/ ,I Address: .�� � �►�� i'�( t�( Phone: _J Investigated By: ( f. r Date: fir; Property Owner/Occupant Name Telephone #: 1 � �fn C.nr d i o /`G1 /10 2V'idLAre D` C//lSS rn, f'_✓ rr h/, S t9�j e D(� t, ' ,-r- S A j y i F� !•n e-o if l(k.yj Y,11 r ,+ L n vI ii i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ^ KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR MAYOR (978)741-1800 FAx FAx(978)745-0343343 LARRY RAMDIN,RS/REHS,CIIO,CP-FS LRAMDN(d SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM / Date: �� Time: G'�� Received By: Complaint Number: 1808 Complainant c4 )CI PC Address: `"1 ��G �, �/,G I_ _Phone: CA, V; Investigated By: n (7 Date: Property Owner/Occupant Name Telephone #: CC)U n L{ o c 11 l piCv C Y t�1 CITY OF SALEM, MASSACHUSETTS BOARD OF I IEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR MAYOR FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS I,RAMDINnqSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: 7104/2 'I1' Time: I 5 Received By: c i Complaint Number: 1810 Complainant Tr c�Ccr L_r 5 1 Address: Phone: '-i - �- 1q6 �I j/rr � rI� � I -r._ I n 'Y i�) F1 11' F/ 1�r i�'"?�/Y'!r n IN Jr �.�+r 1�Y7�_ O/7'T I' i'/_...r+.%.�`j' 1 Investigated By: _ Date: Property Owner/Occupant Name ISc I� .. ItM �[614 Telephone#: q 75?-74q�� a ! n e i Q �c j'i� rP N :�ej —j' c r ✓1 f n PY V . -F-f1.a0�l i' \, d r �i�. i rd 4r�..R .in �O;�lCari Tvin i,fG S t •r`n, F � n�a,fii %,h s woy, J rT. l ! j / f� 411 v l or Pn c h ✓n ;'.1 e ram,, �(� : �' z aTAy'O0*-, tki!c°( K , *r � r- n e �nr G. r �r f(1 1J 11 / n 1 �i�jh�✓ CA d4 7"a [✓I i a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �\ KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR (978) -1800 FAx FAx(978)745-0343343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(2 SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: `]/06 Z Time: �- �l Received BY: Complaint Number: 1811 Complainant Address: �, �„P ( � T i i , ( � Phone: nr� ,r � `,r, � - �� 1. ��, � 'h9• ,'� �c'A) � "r;+- ,,nstnw _t h;-, _1 yI. ,. � ._, .;. i,.i"7•.K � � � rnE �� (.� S �1Pr/� ;n ir' 'a�" �dr n Investigated By: Date: " Property Owner/Occupant Name Telephone #: 4cc ri.T r , i :i t I(i�r ( C•!1'-. 1 n r- + i F , r. � o , C' s n In U k /! /yo w_ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHIIvGTON STREET,4T"FLOOR MAYOR TEL.(978)741-1800 �r FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINI&SALEM.COM HEALTH AGENT / COMPLAINT INTAKE FORM Date: ' Time: ~� i _ Received By: k Complaint Number: 1842 Complainant �n C " ? � L,_ Address % ? ; : .,y Phone: Investigated By: . �%� !f('1 �l,l Date: Property Owner/Occupant Name Telephone #: tiwra\ � CITY OF SALE!VI, MASSACHUSETTS BOARD OF HEALTH KIMBE?RLEY DRISCOLL 120 WASHINGTON STREET,4r"FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDEN,RS/REHS,CHO,CP-FS LRAMDrNi'd SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: Complaint Number: 1805 Complainant no,64,k, ., ddress: Phone: ci- Investigated By: Date: '112 1 12n l Property Owner/Occupant Name Telephone #: t� T r ��: e� 3 CITY OF SALEM, MASSACHUSETTS ja�^h`�wl e�„m`� BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR MAYOR (978)741-1800 FAX Fax(978)745-0343343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN f SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM--& Time: Received B /�iADate: 1 Y ,� Complaint Number: 1807 Complainant "l' , 1 C" •G ,. n� e,e, Phone: i '% - L; Address: �,�--eft n-� �� I d� P4 i f r S -- J '"i L ; 7l ( l ) C'. ;?r��40� icy? .t IA f I Q ►� C — A IDA 7 ill 1 J- 5 Investigated By: �� �' Date: i Property Owner/Occupant Name Telephone #: � � 3 a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDW,RS/REHS,CHO,CP-FS LRAMDIN(0.SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM 64 / r Date: TiLme: ; Cal✓ _ Received By: Complaint Number: 1801 Complainant Address: ! 1 Q ��" '1 '�. ' ;�;„� `fi� ?�C�1—Phone: A. r kkg [A Investigated By: Date: Property Owner/Occupant Name Telephone #: Ir 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 LRAMDr-Nra'SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: Complaint Number: 1802 Complainant Address: Phone: Investigated By: Date: Property Owner/Occupant Name Telephone#: CITY OF SALEM, MASSAC14USETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(4)SALEM.COM IIEALTH AGENT COMPLAINT INTAKE FORM Date: Un,,;' v10 W n Time: Uf)V r!O W el Received By: r C. Ok , Complaint Number: 1599 Complainant 1 off. M 00 VU e 2(� Address: Monroe _Phone: Investigated By: Date: Property Owner/Occupant Name Telephone #: tj 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4Tf'FLOOR + MAYOR TEL.(978)741-1800 (�� FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS {J } LRAMDINitc:SALEM.COM HEALTH AGENT I , Cy 1 -� COMPLAINT INTAKE FORM Date: 1 Time: Pry) Received By: �� )I- Complaint Number: 1800 Complainant ; - oh C a -e CL C t I I � 7 7, 27y Address: aULf J,p.�p r ,<;-n n- Phone: 9 7 - 91b- 0853 J oAyLi � Ica ��� I CA.,�^ Investigated By: ` _ r . _ Date: 13( (D Property Owner/Occupant Name OQP r Telephone #:97 -z 3Q -J`7C0D /n , . L Q rao c-:)(1 ri/ 0 S2i1 4 0 CU rre r, # Uwn 2r S <' n ALt ';� �ivn d 10 ( ,?1 E« fP of 4n o<5 -1:� ( rs P -7b 11 Io - C� )I e d own e r Poao-f k9 . Mg, � .- � i �c.k up hxi I IL. "s ('�r r Pc- , ��I f-��n 5 I �ld h d rr! 6 (' .: ( J ��l�n 10M hQ V !1-> (1 f o05 Q r p C(L(y .. .,l L n-o-A i A 7 (01110 - "°`., n-e(� P �tC�r 1 Cuo pi 41) 1� :4e C t P(.w 5 VN � rPSS `7 - �CTXCI�( Hn1+if) (A I lfCj -f1> S `7 �TaH CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR 1 MAYOR A (978) 1-1800 FAx / A (978)745-0343343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(d'SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM / Date: . Time: �j ; J Received By: �, ;` T o Complaint Number: 1597 Complainant A r / fh r)4 0619 Dr) U 1h[aC.(S Address: I+w S o On e ( QV ( P_( Phone: o �J ou -t +,K on o, ,rrn (er-too! Investigated By: ` (} a/--"(/u Date: Property Owner/Occupant Name y/M RjSQt�l(3Telephone#: )it j�') ��l&a. 41x_� _! "� / i -77' Y= CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH TI KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4 'FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LA MY RAMDII,RSIREHS,CHO,CP-FS LRAMDI:VCa'SALEM.COYI HEALTH AGENT COMPLAINT INTAKE FORM Date: 06/2 Time: 2 r 3 51,111% Received By: , ; ar, Complaint Number: 1595 Complainant 1 Address: S -r f ;q' 30.1. Phone: X CCS ` L ( i f r n h� / -r' C ` n/P 7 i .n /W1 V tent!w ; v,�� t�.r.�I m 4- a �� Investigated By: j6ff,ra p6l-, Date: Property Owner/Occupant Name Telephone #: 'r �.:.: ��✓ 7rCJl.J C• l? -_.-A.r% •,�J7!C. �.��r,,• ,..'� �1.�� - rA , i.v 4 I + I WC�r ( , it DLit'✓E'� oil _ I ' B/!.l f J i -Ly0 i Clr i f ✓' la^� ran S .q a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T'FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINQSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM r� � Date: ("��y ,'f i _- Time: t rc n, Received By: ro - Complaint Number: 1594 Complainant •; Address: Leh CJr �J�ve, S�Y f rd `f o i— Phone:qW-cf,7 176 6 2 G;�, ✓ 4 kin 'n�� �4i,. c�+n > �y! ` lei?Vf 1�. ��;' L.n r ,� I� �. �'• �_ 9 Investigated By: ,� , �c r ;v Date: Property Owner/Occupant Name Telephone #: �n r��'1 � i _ �_ 't r / � .� r.� Y� r �q � r d r-,-x^'_ I:�✓;A �� ( �' 1 ICAh e 1� 1 -r on +�k-kcyi `w.� c CITY OF SALEM, MASSACHUSETTS �y;,�1M1z BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4Tf;FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RA3IDIN,KS.REHS,i HO,CP-FS LRAMDINrd SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: 2 Time: d. 3(D ICE 414 Received By: S[4b�-I ZI v Complaint Number: 1593 Complainant TO V t rK qn C1 r (;'_h E 01r n 2 G'r 6L Address: '' •. (;7'G.t17 4 Phone: �j - -Z I L1 ?G YOP 0 • 1,5 Cj� 4-L-5 00 5� �1 Investigated By: Date: Property Owner/Occupant Name ( Telephone#: f tIf CITY OF SALEM, MASSACHUSETTS .;, BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR TEL.(978)741-1800 `-•� AEM.COM LARRY RAMDIN,RSi RIsHS,CHO,CP-FS LRA DIlVCR HEALTH AGENT COMPLAINT INTAKE FORM � i Date: D . / Time: /\ Received By: Complaint Number: 1591 Complainant GA A V Address: r ( (' Phone: i Investigated By: � , / [�((,} r% ,�,( Date: fhProperty Owner/Occupant Name ,-yrnA (,": blephone #: l)/lC1l1 /1akd & -T behIhd c6m gak , A (1/��� -han b sco le Qrc/l r�-Mee- ixoSh �e ' qe J7UL`I` 3 fD LPC!/7 Up `PQS. �lJ l /�� �'�`���'�'�{ G� f had . � GI i'ye aCITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR �1 MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LR4MDITirMSAI,EM.COM HEALTH AGENT COMPLAINT INTAKE FORM J" Date: I Time: Received By: W Complaint Number: 1590 Complainant el; r s� i] �c r-% CAA 0/31 tV 01 YIC to 1 G�.�r��1- r c"Q a IS Address: 4 Y ��� Phone: ?91_6 3'--` 0)-q koc-� `,C J I\ -�LIPu 1 rC 5 c' r �c� 's�r� C,-�, C .i �,'�A.A lie c� u. to 1e f��.� 6 J LA Investigated By: Date: Property Owner/Occupant Name _ Telephone #: i I , � (�rA 17t [" I' ll —Al ' �.i "f Yl/f :'1 �fi� 1 �1 ,i` l ii iy'F o / i a CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH 1 IMBERLEY DRISCOLL 120 WASHENGTON STREET,4"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMMNOSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM a Date: Jg Time: L) ,1- Received By: Complaint:Number: 1587 Complainant Address: Phone: _ ► � ' �, eo to r" E , 1 I - Investigated By: /,(/1 Date: Property Owner/Occupant Name 4 L• ;'! iYJ sT'e epLne #: 4Z) �'..�� K �J:.'J`�. i�.r ;`<;l_. Of c g ti k � CITY OF SALEM,MASSACHUSETTS a BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4r"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIN,RS.'REHS,CHO,CP-FS LRAMDINrd!SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM R II r� Date: Z !� Time: 1 V , (D(5 f4 I'Y j Received By: Complaint Number: 1584 ComplainantIIA c.c.s jb . t t�Ps� „�vn mou5 Address: /41 S!1{� Q. I�e I o s� Phone: CO L4 41 n U,)CL- y Date: Y Investigated By: J 1 Yl 0 414'I K t Property Owner./Occupant Nameil ' jpl'O�Vl Telephone #: G'as�in9v a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDfN,RS/REHS,CHO,CP-FS LRAMDIN(a'SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM J Date: �;�;,'°?.��;6°:!�'��: Time: ZSr�,,,, Received By: Complaint Number: 1579 Complainant _ Address: Phone: T �i _ ram % " �, �, ( _ I'1 n Investigated By: ��; Date: ( ? LI-; o l Property Owner/Occupant Flame _Telephone #: Y b // CITY OF SALEM, MASSACHUSETTS 1i3� Y: `� '.�-e...S%e ,,,,,���� BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDN,RS/REHS,CHO,CP-FS 1.RAMDIN(2SALEM.COM HEALTH AGENT // COMPLAINT INTAKE FORM Date: Time: ` F Received By: �— Complaint Number: 1578 Complainant z j Address: �� ` , `r t� *-F —� Phone: a e Investigated By: , �� I (A,( Date: Property Owner/Occupant Name r C C�,I <_'�1L,(J,. Telephone #: J 1 V ( ,A L(% , A f t I L45 411) r CITY OF SALEM, MASSACHUSETTS a 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 LRAMDr.\(&sALEm.com HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: Complaint Number: 1571 Complainant 0 Address: Phone: C 0� Investigated By: Date: Property Owner/Occupant Name- Telephone#: IXf I\ 'l\ 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 LR"AMDINfWSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: (+ Received By: Complaint Number: 1575 Complainant Address: ,r ;C'k V" 4' Phone: / 1 a Investigated By: Date: Property Owner/Occupant Name Telephone #: /,.^��! CITY OF SALEM, MASSACHUSETTS i� , ' y 0 _... ' y.�ry„��_�, BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T'FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIVra",SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: ; „ Time: -' -' ?0 ---- Received By: ,—, Complaint Number: 1926 Complainant Address: s / l�� `� - Phone: Investigated By: -'I Date: Property Owner/Occupant Name Telephone #: -- CITY OF SALEM, MASSACHUSETTS c> �APr'C � BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR MAYOR (978) -1800 FAx � F.4x(978)745-0343343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LR4MDINra SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: "1 l Time: Received By: Complaint Number: 1812 Complainant U1 r; ', :b Q n �'vl C L oc VV a ("ComplaI oi-le o'n # Address: �u l iv' l4-rn q 23 6 04h 3�. Phone: 9 0- 7 a/5"-6,?9 3 T— Jn &k7l t f -; i i I L44c/ a Q ► &L nG (1 hP rl otrfsS�S r lb(0/10 :1 `( 2� 11m- i�s� Investigated By: �� ft I I (1 �l� Date: —T 1' c7r I avahon &rr, vF Telephone Property Owner/Occupant Name s phone #: %/�7�S9'1�f q- 51-71 �SS /nG. 711 tAr 5ci iu Vulos'le Pick L10 1L31 (and Pir; q R0 aP A/C) V 2 0r'/ o bSC'oJ (ld CITY OF SALEM, MASSACHUSETTS 0 BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,47°FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDIN,RS/RLHS,CHO,CP-FS LRAMDINCaISALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM r`, Date: Time: Received By: v Complaint Number: 1570 Complainant — 7 0 Address: tok i-h 'hone: Investigated By: je(D Date: Property Owner/Occupant Name- Telephone #: a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR MAYOR (978)741-1800 FAX FAx(978)745-0343343 LARRY RAMDIN,RSiREHS,CHO,CP-FS LRAMDTNCWSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: Complaint Number: 1567 Complainant G. '. Address: C,!. c Phone: UJO _ �� Investigated By: `�� : 1 1 � Date: Property Owner/Occupant Name v' 14 I A ; Telephone #: � r 2-015 r k<, FI CITY OF SALEM, MASSACHUSETTS \y�...�Sv�� BOARD OF HEALTH �rurne KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR (978)741-1800 FAX � FAx(978)745-0343 343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(a!SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: ' Complaint Number: 1562 Complainant L Address: Phone: I r InN,estigated By: �: . Date: (`� /21-)/2.41.26 Property Owner/Occupant Name < A ( r, .' elephone #: Q7R-74 y ; 1, f \mil a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T'FLOOR MAYOR (978)741-1800 FAx FAx(978)745-0343343 LARRY RAMDEV,RS/REHS,CHO,CP-FS LRAMDIN�ISALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: CD Time: Received By: Complaint Number: 1559 Complainant elnoony mgg5 Address: f�:)n chd — 2 S?q FS Phone: DQr V enJ� i ci- Pon and Qr ,Pa S�4 hoods . Investigated By: Date: - Property Owner/Occupant Name Telephone # CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T1'FLOOR MAYOR A (978)741-1800 F Ax(978)745-0343 LARRY RAMDLN,RS/REHS,CHO,CP-FS LRAMDINrdSALEM.COM I-1EALTII AGES r COMPLAINT INTAKE FORM Date: ; r `I U' _ Time: Received By: Peaie,,)5)y Complaint Number: 1558 Complainant Address: Phone: t f L r rt ." n �i.0 J J o Investigated By: )J)( tiL,t i",�� it( _Date: 7 zv - Property Owner/Occupant Name DlqC(_ & 'r6Ll OU Telephone #: vqr CITY OF SALEM MASSACHUSETTS \9,;;,,;� BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4Tt'FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LAP RY RAMDIN,RSrREHS,CHO,CP-FS LRAMDIN(¢-SALEM.COM HEALTH AGEN r COMPLAINT INTAKE FORM Date: �" �3_.t' Time: Received By: ��- Complaint Number: 1557 Complainant Address: Phone: � 11 UlSn �� C Investigated By: Date: <: Property Owner/Occupant Name - Telephone #: f.r II"4'fA)�f i aMASSACHUSETTSCITE'OF SALEM, BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T'FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(a-SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: 4 A Time: �� .`� Received By: l Complaint Number: 1555 Complainant Address: / r ! ', Phone: Q: t Investigated By: Date: Property Owner/Occupant Name_ Telephone #: am�ry !s CITY OF SALEM, MASSACHUSETTS ."F BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"'FLOOR I' 1VLaYOR TEL.(978)741-1800FAx(978)745-034343 LARRY RAMDIN,RS/REHS,CHO,CP-FS I.RAMDIN(¢)SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM T_y Received By: + Date -� I Time: '� ,�, ;i Complaint Number: 1554 Complainant Address: Phone: Po, (L)E4 Investigated By: n 1L c7 Date: Property Owner/Occupant Name Telephone #: r1 CITY OF SALEM,MASSACHUSETTS L,n BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T'FLOOR MAYOR (978)741-1800 FAx FAx(978)745-0343343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINCSALEM.0O3N1 I IEALTH AGENT COMPLAINT INTAKE FORM Date: _ Time. Received By: Complaint Number: 1553 Complainant Address` `� Phone: r Investigated By: ��r 1 IL�� Date: Property Owner/Occupant Name Telephone #: Dwi CITY OF SALEM,MASSACHUSETTS ,! BOARD OF HEALTH . KIMBERLEY DRISCOLL 120 WASHINGTOI�STREET,4TE'FLOOR TEL.(978)74 1-1800 MAYOR FAx(978)745-0343 LRAMDrNr_SALEM.COM LARRY RAMDIN,RS/KERB,CHO,CP-FS HEALTH AGENT COMPLAINT INTAKE FORM s —,�, Received By: �• 0V�� kipDate: (0 1 I iV Time: - , Complaint Number: 1549 IN Complainant ;`1 f�;(;�r DLA Address: Zeta CYO S aq6one: 9 2- 7 L./ C!V r S 'P �l �a,�� �If�S insr��P ,�1�P �s���/� s�►� P�-f- �I (�,�o( �b�TI�, a1 (,oDf r i P Sv(��P co P �� 1 G'p S C V earn 4�� Investigated By: 40 n Date: Property Owner/Occupant]Fame_ Telephone #: I CITY OF SALEM, MASSACHUSETTS r v. BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,47t FLOOR MAYOR TEL.(978)741- 0 FAX(978)745-034343 LARRY RAI IDIN,RS/REHS,CHO,CP-FS LRAMDIN(&SALEM.CO vI HEALTH AGENT COMPLAINT INTAKE FORM Received By: Date: �]� 1 �Q Time: S 11 (� ��� Complaint Number: 1548 Complainant n a a Y n c cS V, c f- Address: 141)t,-L CC 143 )ue SkO Phone: Sk5- e I COPO4­6 1 Investigated By: ! :C L,1 6GL e �.i_� Date: J Property Owner/Occupant Name Telephone #: r I � X6/'X11 5r CITY OF SALEM, MASSACHUSETTS M �' � BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHNGTON STREET,4T"FLOOR MAYOR (978)741-1800 FAX FAx(978)745-0343343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDN(a)SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: S ', J Time: Received By: Complaint Number: 1545 Complainant Address: 1 ,,: _ ^( f Phone: Investigated By: �i! �� Date: Property Owner/Occupant Name Telephone #: a itiUlI.,� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T'FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIN,RSiREHS,CHO,CP-FS LRAMDINriVSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: 2 CO I LD Time: J Or-rl Received By: S, Complaint Number: 1541 Complainant PiKa n �—Phone: Address: I D L� P CRo f P P-+-- Un I L LI 15 - 2 $Co- `$239 1 n 4a 1 {5 OL S 6v hn v n'n.e oc/o; J a 60 }1 b i Wok -e l Ono-L on S r L{ W6 Old Ch 'I d . M(Ae: This u(" kws o o-I lead a Cef - *Pc ti 4 -fi— , f t�5 S�C1 C t �{-YLC �C'C�f 2 0C - T� ;, ;,•.,Jos ;�;,A r 111 S p r o �4 �U n d P C -en Investigated By: Date: roperty Owner ccupant Name �t,m�; I������ Telephone #: tY CITY OF SALEM, MASSACHUSETTS �'� BOARD OF HEALTH nrrV . KI'.MBERLEY DRISCOLL 120 WASHNGTON STREET,4"FLOOR MAYOR TEL.(978)741-1800 { F FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN['SALEM.COM IIEALTH AGENT COMPLAINT INTAKE FORM Date: �� Time: Received By: Complaint Number: 1538 Complainant /vL Address: O��Le�/�Cn L ?? —Phone: Investigated By: ? . Date: Property Owner/Occupant Name Telephone #: n i a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 ��- LARRY RAMUIN,RS/REHS,CHO,CP-FS LRAMDIN(a-'SALI M.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: �� ':`%' Time: Received By: i Complaint Number: 1534 Complainant Address: ` '�1 r;' �' Phone: , J Investigated By: Date: Q61QW2n16 Property Owner/Occupant Name Telephone #: + C- 1' 'JIJ . 'aeld. or � �s ti� ✓ +PP t iht'/ »Ltr Cotille4 'ej ---n YL 404GC! Ic J Iee..I CIrC �,I + ,�'c.aK Y No pvrUev►C_� wr,�s rr,f(� �ti'�, .�42" � was a- V+ sed r arc -0�..,, ,•,ct+FJ t0 CIrC-L/° + ArC ICc T ,n 3 4Q kP4 . a h , T0..�! 0.►l r� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T„FLOOR MAYOR (978)741-1800 FAX FAx(978)745-0343343 LARRY RAMI)IN,RS/REIIS,CHO,CP-FS LRAMDEN ISALEM.COM HEALTII AGENT COMPLAINT INTAKE FORM ! ' ? /^ � � Received B Date: �:� .� Time: "�s�� y: r Complaint Number: 1532 Complainant Address: #1 QA 0/7 d A -' Phone: 7 - $Z 5 1713_ e , AL rI J C� �'s , t, Investigated By: 1 n�� Date: Property Owner/Oecupant Name 1, q (2a( Sfvr e Telephone #: 1'"7 ue a C e4e -Phi s a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"'FLOOR r �} MAYOR TEL.(978)741-1800 FAx(978)745-0343 \` LARRY RAMDIN,RS/REHS,CHO,CY-FS LRAMDIN,nSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM ) Date: �� Time: Received By: �NL n ,l Complaint Number: 1897 Complainant 0n n c �Jc rC. Address: k` - Phone: '71N.6 a ! r CA )P (C CA C1 �u� -� LAP �-�� !>� �` ��, .�� �F 1 J r Investigated By: Date: Property Owner/Occupant Name Telephone #: L� a 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 LRAMDTN(q-`SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: ^/ Complaint Number: 1526 Complainant lVgqI.., , Al ,( Address. 2.. ; '.+ ,., S n n Phone: 64 . +i /�• / _ 1-•/ r Investigated By: - �-k 'r' ; �. Date: Property Owner/Occupant Name Telephone #: lrlV 4-S-0410I r ttide 1 , 17 i CITY OF SALEM, MASSACHUSETTS ��tiHm�:�a:/ BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON,STREET,47'FLOOR MAYOR (978)741-1800 FAx FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CF-FS LRAMDI' SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: `) li Time: l r) "� } . /� Received By: j - Complaint Number: 1522 Complainant ( r Address: ry � to t Phone: 7 ��/g e I­Qrl fb l_l Investigated By: Date: Property Owner/Occupant Name Telephone # y � CITY OF SALEM, MASSACHUSETTS l BOARD OF HEALTH ^ KIMBERLEY DRISCOLL 120 WASHINGTON'STREET,47 FLOOR 1 MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LR.ANIDINOISALEM.COM HF..ALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: Complaint Number: 1520 Complainant Address: VcAa r"SS i Phone: q '7k-2.16 -0 laAA4.! w rArnLi 1 to G Investigated By: Date: Property Owner/Occupant Name Telephone #: 'inaMr�.�� y=v •, 5, CITY OF SALEM, MASSACHUSETTS � , � �nEn� BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,471'FLOOR { MAYOR (978)741-1800 FAx FAx(978)745-0343343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINft_SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: 6 Time: a Received B � y: LA Complaint Number: 1519 Complainant �. 1C {1e U h�(' °r G v e� Address: C� cl �� Phone: r • ��� b C J� .� i Investigated By: Date: Property ONA,ner/Occupant Name Telephone #: CITY OF SALEM, MASSACHUSETTS `0 :_. '\`�� BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET.4T"FLOOR MAYOR FTEL.Ax(978)741-1 4 FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINr'SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: (o Time: + Received By: Complaint Number: 1518 Complainant +- 'hone: 4l Address G(!+Cc la i t � 5 C S� g 1'j k-r���.-0 i I ' J J � � -&4 A fA 610- Investigated By: Date: Property Owner/Occupant Name Telephone #: CITY OF SALEM, MASSACHUSETTS >e" BOARD OF IIEALTH rvm KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN tLSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM �. I Date: �0 Time: 'o• 4,,- Received By: Ov Complaint Number: 1517 Complainant Address: ;//6 L.Gk, `I e � � Phone: % `:�y % 40 (-) PAC' Investigated By: ; . aLos Date: Property Owner/Occupant Name Telephone #: 3^ -}' ra^[' 01 '"yt •.-x. �'j.� ,-i ,_y 1 i , � 10u ' I C i f � F .1� 'rcok1414 V J, #11' OL C'kl' CLke.41 d aCITY OF SALEM MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,47 FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINr SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: — ) , - Time: `� Received By: r'..''.r Complaint Number: 1516 Complainant Address: 4:! �'�� �•, �a; Phone ",i-� '' a Investigated By: 1��r �; .� � Date: Property Owner/Occupant Name Telephone #: 1• s II :� ii t/i.-ram !� _ .I i CA, kc k, i S, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR MAYOR TFL.FAx(978)74I-1 800 FAx(978)745-0343343 LARRY RAMDrti,RS/REHS,CHO,CP-FS LRAMDINQSAI.EM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: �.�,�� �1 Time: I. ' 04111 Received By: G -rt " t"�oS Complaint Number: 1513 Complainant ; ., n a r 2 Address: , Phone: 1-I5— -5-'0 let 4 � I Lj 1� t' '7' i, T •r, �Y �r..Y3 .� a Investigated By: _ a Va Date: � ' --'�- u Property Owner/Occupant Name Telephone#: uV� ►i � �iJV �/l � ��, L �L .fir j. ._.• � . ?-�� ©� /V C' 1 \OIIA{ / n f � CITY OF SALEM, MASSACHUSETTS \�h� BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,41 FLOOR } MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIN,RS/REI IS,CHO,CP-FS LRAMDIN(d.SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: Complaint Number: 1512 Complainant ; Address: ? I�-21 3 Phone: /— �-'!1�.%%';'� l� r f !)i h f�v 4. Investigated By: Date: Property Owner/Occupant Flame Telephone #: V 1 CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,e'FLOOR MAYOR TEL.(979)74 1-1800 FAX(978)745-0343 LARRY RAMDD;,RS/REHS.CHO,CP-FS LRAMDIN(a-,SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: Complaint Number: 1510 Complainant rl�1'.7 Address: -Phone: 0— Investigated By: Date: Property Owner/Occupant Name Telephone �< 1 CITY OF SALEM, MASSACHUSETTS �'='_�� / BOARD OF HEALTH \umco�j ' KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR X(978)741-1800 FAX(978)745-0343343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(a SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: 0 Complaint Number: 1509 Complainant - ,� A a�r s o►� M fl ' C P Address: S �,��,-;� �^>c •� Phone: �� '' b ��t- ��• • �' cam,.` .-.:CA Investigated By: Date: Property Owner/Occupant Name Telephone #: {< Y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR MAYOR A (978)741-1800 FAX A (978)745-0343343 LARRY RAMDIN,RS/RFHS,CHO,CP-FS LRAMDIN. SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: (') �4()712 ul! Time: �I ;•rt Received By:ill Complaint Number: 1507 Complainant -.l -Ti v I Address: 4,_ -- � 1_2 Phone: 777,,n, 378In CA k1 45 A- * py I �•;� it S leer / 1� 9v,4 '�e f l( 41:^i I Investigated By: Date: Property Owner/Occupant Name Telephone #: CITY OF SALEM, MASSACHUSETTS BOARD OF I3EALTH KIMBERLEY DRISCOLL 120 WASHINGTON-STREET,4T'FLOOR MAYOR TEL.(978)741-1800 1 FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDN(-)SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: .;-', Complaint Number: 1506 Complainant- Address: - c. le �(; C �-' Phone: n Investigated By: Date: Property Owner,!Occupant Name Telephone #: -%neara CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASIIINGTON STREET,4"FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(d;SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM �` Date: 2 Time: / �= CO t�-r)1, Received By: J, /Tn K c) Complaint Number: 1504 Complainant 1 0-e -( I pc Z ar-- 1pe s�� h4 f �1�'S C�aylei, >,� f :s annnwrm�uS [. 2 laoli y S� , - cun,pIGtr 1c,nis acldrPSS) _ Address: .3 I4DII<f Sfrgo P 4- Phone: q -7$- 5 7 V - 2 :-`..� VOMOlc'.i'Iccr) � S+a4-05 St r!,=glr) 4 15 19611nG 0()p-I le �ed na0 (t- 4011u 5�-rePt . 6erR C1OQLA} le& -! rl and aj:�414 hQ OPeel? 5 �, _ 4P uQ ct,lda 00 12.0, mi I s t o1, Ile d - tiv ��nr• tn0Gllecl ,Svk4l- we bS( - � rid pV r^ Investigated By: Date: SPe Ccf I c,ch,-,1prvpegq rp(br�d rardS Property Owner/Occupant Name Iwo eodos11-w G'wrle r,-� Telephone#: S- cU+eS -q)at- -+A-:jP r)Yk 5 P; G CvrY1p�P : c.r Pr 5pr' ,p ,� ►GF35 - �i`l 795- ?7L-/ 5 r" 5ve r46die;,� of r n,Dr 6' irk}-n; file ;'Ci-r,0la; 41, of W Qu 16 111se >�r,�,� � n Ln c-n�4 CL�f, QnS -� �Ctf'SPrI t'P4C< (G{r/l 4101- 012rn a 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 LRA.MDIN�a'SAI.EM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: 1�U/ ✓I k(7 Complaint Number: 1501 Complainant eV1 r6 k r� C hr iS c) (0(-C'U)0Ct�1�J � Address: ��_ u r� ft �� / 3 Phone: 7 h 0 0,1,*1 41 � � r P� u Ps�n�! c� C��►i��7 a � o /:�S;�PL l�r� Cr Lkil Sl�s� sa.ims Ccd1� ' L'C' �J��� S I/f �\Q d ,4P al Ov 02 0 S n vn VoV, 0 1 ` .0 /�)r e tiY�G GIr bu.� �C� tr7CtC ' r y }1t:'•r� 1( { �' , r`� � r� : r : f i Investigated By: Date: Property Owner/Occupant Name h(K+C) -Sc kJ r CX e Telephone #: SU�R -to N 2 2 7z?3 a �e r7 a r,+ e (a i rn S eta+ a- � uct(V- fDl d her S� O ytpeCQS J h ram.u e a� }s -� &erne. Coon f y.i 'v-t f L,ti r ��+0(cc 1�00.3( ► � (AL Lr; L � c, LO ;e al 1 n L) J'he ► rn oSic, )13(.,I +_ i ` K e h (A tc. )tl 14e k0 c) rM s no M04-4 4�y rn P• ►��'�, ��r` C'"eA t S `� We W 014 ' ,: " K CITY OF SALEM, MASSACHUSETTS "nb,�,wTj' BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,41H FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINL'SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM i Time: Received SDate: y, Complaint Number: 1500 Complainant -� Address: . 'C'G.. % ; Phone: �.• i r Investigated By: Date: Property Owner/Occupant Name Telephone ##: i <> CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR MAYOR TEA.(978)741-1800 F.ax(978)745-0343343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDI\r'SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: L Time: 7 7�,, ti Received By. L Complaint Number: 1499 Complainant 0 L Address �� �,� ' C ?n �!C to Phone: IJ ` r �� J/ azl r i 1 '' n A EAU i� Pya Investigated By: Date: Property Owner/Occupant Name Telephone #: CITY OF SALEM, MASSACHUSETTS 0 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 LPAMDF\' SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM ' i LP Time: Received Date: l By: Complaint Number: 1496 Complainant J000c, -7 -( (.c (01 Address: 0 L),Lx---fq)r 0-4= QLJ dek e-1 S 4- 7 -1 1. ij Lf C¢ QL 5 r�'�r -s 0\4 VN 1 , Spot j e, a-+ Investigated By: Date: j L112212,a1C Property Owner/Occupant Name Telephone #: CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOI.L 120 WASHINGTON STREET,4"FLOOR MAYOR TEL.(978)741-1800 l FAX(978)745-0343 LARRY RAMDIN,RS,REHS,CHO,CP-FS LRAMDIN�h-SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM 1 Date: `_r �� Z?0-14 Time: Received By: l Complaint Number: 1495 Complainants Address: ;I. �- Phone: / 7 2421 y l b. hivestigated By: JPM04 R r (,. Date: Property Owner/ ccupant Name Telephone #: V, )--) r X ^ 44 4 �n ' � . f=11 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALT H KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4r"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIV,RS/REHS,CHO,CP-FS LRAMDINWSALEYI.COM HEALTH AGENT COMPLAINT INTAKE FORM f Date: Time: � '_ _ Received BY: Complaint Number: 1493 r. Complainant --- K Address: Phone: — Investigated By: Date: Property Owner/Occupant Name_ Telephone #: CITY OF SALEM, MASSACHUSETTS 'A. a��ruinv BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLUOR MAYOR (978)741-1800 FAX FAx(978)745-034343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINC&SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: Complaint Number: 1492 Complainant Address: Phone: *— n Investigated By: Date: Property Owner/Occupant Name Telephone #: --y%in�wr,�� F CITY OF SALEM, MASSACHUSETTS clmeos� �`� _ BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASIIINGTON STREET,4T'FLOOR MAYOR TEL.FAX(978)741- 1800 FAx(978)745-0343343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(aSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date:0g/-1 4'., Time: Received By: I { r os Complaint Number: 1491_ Complainant Address: — Phone: — .,nr: �.,�� SUrr'C Fyn ,, fir; ,_, _ y•, ^/A cx Y tl�./'C� �f r .�<.%,l�f!S f'!'f J'� • J i✓! r'V f ` �--- � ' Investigated By: Date: Property Owner/Occupant Name Telephone #: \'vim , I 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 LRAMD- -'SAI.F;M.COM HEALTH AGENT r COMPLAINT INTAKE FORM Date: J / !x. Time: c Received By: Complaint Number: 1490 Complainant Address: c-. J . �r "+ '�. ✓ r� Phone: L.1":\..1oweY, c_ UU f.^ Investigated By: Date: Property ONvner/Occupant Name Telephone#: