FLINT STREET - TRASH COMPLAINT (2) e--It-
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 LRAMDINr[)SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: q Time: ZJ am
Received By:
Complaint Number: 2583 _
Complainant A"'n-h-r 1 b4 .4
Address: r2 l l h Phone:
Investigated By: Date:
_ ''
Property Owner/Occupant Name_ Telephlo�ne{#y:-�
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
�v KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4 FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMI)rW&SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
ate: Time: 1 Received By.
`
Complaint Number: 2578
Complainant
Address: Phone: 9f�t , �`J ��
Investigated By: lig Date:
Property Owner/Occupant Name Telephone #:
(LAN(�V
w & 'A -Ru� t IhQ�
0 i- N�
l .r„ CITY OF SALEM, MASSACHUSETTS
\°�! BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,,f13 FLOOR
MAYOR TEL.(978)741-1800
FAX(978)745-0343
E LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINnSALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2616
Complainant
Address: Phone:
1-7
Investigated By: Date: ^' Z�
Property Owner/Occupant Name _ Telephone #:
ai in in Inf" t
1 i
�nnwre'\
_ � 1
r m� CITY OF SALEM, MASSACHUSETTS
A?` BOARD OF HEALTH
•al
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4'FLOOR
MAYOR TEL.(978)741-1800
FAX(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINia,SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: �� I I ^i Time: Received By:,
— -
Complaint Number: 2611
Complainant
Address: Phone:
V►�-�� l,�
n« f LaLo U^4k, '►aKLL Ld f J'1(A ir C+,Q�e ( fi 0"M Till J.A
I Orr g::-,- a C n7 1-'e
M11 ; � '0'rfj�Jnj La
Investigated By: r „<.i Date:
Property Owner/Occupant Name _ Telephone #:
.I r
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 LRAMDIN`:'SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2608
Complainant
Address: Phone:
Investigated By: _ Date:
Property Owner/Occupant Name Telephone #:
Lai
I +
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 LRAMDIM&SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2607
Complainant
Address: Phone:
Investigated By: _ Date: !-Q_1Z:U 22L�
Property Owner/Occupant Name _ Telephone#:
il i 4 i 'rAj In e J
J
A
J CITY OF SALEM, MASSACHUSETTS
�;A?_�_{ BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
J LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(a,SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2603
Complainant
Address: _ - .—Phone:
Investigated By: Date: '�, r'12 -
Property Owner/Occupant Name - _ Telephone #:
Qw,
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T1'FLOOR
MAYOR TEL.(978)741-1800
FAX(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDTN,1&SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2601
Complainant ..�
Address: Phone:
a
Investigated By: 1 Date: 1 ��� /2D
Property Owner/Occupant Name - Telephone#:
f L. 4 �.4121 Ll -
/
" -L O C-1
I '
r
'nw
yr �
liar, A ,f CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T13 FLOOR
MAYOR TEL.(978)741-1800
ri FAX(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-f S
LRAMDINia!SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: `�' " ' ' Time: Received By: �fr'e. PC-ref
Complaint Number: 2600
Complainant
Address: Phone:
Investigated By: _ : .. Date: ;°r
Property Owner/Occupant Name Telephone#:
w
C J1
►° r� lowy v/2 14 - j.
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 LRAMDP.VjAsALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2599 _
Complainant
Address: Phone:
Investigated By: Date:
Property Owner/Occupant Name _ Telephone#
a
CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T14 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
Date: ` (i Time: Received By:
Complaint Number: 2595
Complainant
Address: Phone:
� 1
I
Investigated By: Date:
Property Owner/Occupant Name_ Telephone #:
Yn �; i CITY OF SALEM, MASSACHUSETTS
d�-��;�`�' 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(&'SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2591 _
Complainant
Address: Phone:
Investigated By. Date:
Property Owner/Occupant Name_ _ Telephone #:
o'u�t�
`ter m CITY OF SALEM, MASSACHUSETTS
'��"r 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 LRAMDINia-SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2587
Complainant
Address: Phone:
ti
. l ,
r
Iiivestigated4 By: _ Date: '�r V e
Property Owner/Occupant Name Telephone #:
X1,
f
a L
c�
CITY OF SALEM,MASSACHUSETTS
'� BOARD OF HEALTH
KIMBERLEY DRiSCOLL 120 WASHINGTON STREET,eH FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN h.SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2580
Complainant
Address: Phone:
Investigated By: Date:
Property Owner/Occupant Name Telephone#:
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 LRAMDIN-"a SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: - Received By:
Complaint Number: 2579
Complainant
Address: Phone:
Investigated By: -, -_ _ Date:
Property Owner/Occupant Name Telephone#:
r+
at
��hurt�r � / 7P,- w, f nr�f�,
` , i
l�..►nr,r rl,�►(�,�,_�S S��' -�-h�.,� �.r�gr S y,� erne � .
Z/x�/t d�Jjd�l
.W-
V, '�au'1 art
a
CITY OF SALEM, MASSACHUSETTS
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 LRAM)MO(V SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: / ��''' 1 Time: Received By:
Complaint Number: 2576
Complainant .L .6
Address: - - --- - '� — - y �Phone:
a
Investigated By: Date:
Property Owner/Occupant Name Telephone #:
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 LRAMDINQSALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2574
Complainant
Address: Phone:
Investigated By: ��r, Date:
Property Owner/Occupant Name _ _ Telephone #: J
V r Q ki I oln I c' �a
Pon El--Pa ���� sh ►. � .
� IVK ✓ t�"n� �S.
Q�i� "f'2rIQ✓�
a
CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
'J LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN�d-SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: b / n Time: Received By:
1 J
Complaint Number: 2572
Complainant
Address: Phone:
Investigated By: Date:
Property Owner/Occupant Name _ Telephone #:
7/ C
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,e13 FLOOR
MAYOR TEL.(978)741-1800
FAX(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINrt)SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: J ' 1 Time: 1 Received By:
Complaint Number: 2571
Complainant
Address: Phone:
J J.
a 4
Investigated By: ;y Date: _9
Property Owner/Occupant Name Telephone #:
,Ice fi n 'r1 rl
-} - r
✓� /� 1 J L
r -
t
0 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
LRAMDINnaSALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: a / ; Time: / Received By:
r .. ,T_ -T-- - -- - ------ --
Complaint Number: 2569
Complainant _- _ _
Address: Phone:
'7- 1 - -
I
T-!-ram
r-�
Investigated By: .� �� J Date: /I
F
Property Owner/Occupant Name Telephone#:
J
� I
(!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 LRAMDIN&,SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By: _ r
Complaint Number: 2566
Complainant
Address: Phone:
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 LRAMDINiu:SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2565
Complainant
Address: Phone:
r /
- t� tr ko nr j'►��t✓mot J 1.
Investigated By: _ - Date: 7/1 /2.01-2
Property Owner/Occupant Name Telephone #:
L4 ri A �r - S Cv1 dail , Are-LLS S Y 4-C 6L.-Id . 1
Sc
r
- dmt s L �-�
/? / �
.
CITY OF SALEM,MASSACHUSETTS
nNul�q�`
o 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 LRAMDINCa,SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2564
Complainant
Address: Phone:
Investigated By: Date:
Property Owner/Occupant Name _ Telephone #:
I �
-- t ,r�r� rJ{�1 c? !ronVe✓r r e r1 10
I
- I
a
CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHIN'GTON STREET,4"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: n 1 Time: Received By:
Complaint Number: 2563
Complainant r
Address: G f Phone:
-rr
1
4
r
Investigated By: _ _Date: '' n
Property Owner/Occupant Name Telephone #: �--- /
r
0 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 LRAMDINfa SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: q'1 I Time: Received By:
Complaint Number: 2561
Complainant �I ,��l l A X\11-
1 �- �? -
Address: � Phone:
-AA
. B
-t U T Le
Investigated By: Date.
Property Owner/Occupant Name TeIeP�i �e #:
CITY OF SALEM, MASSACHUSETTS
0 BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR
MAYOR FAx(978)745-0343
/ LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINQSALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2560
Complainant _
Address: Phone:
Investigated By: Date:
Property Owner/Occupant Name Telephone #:
rXCIC !)CP✓1 Ll ! TG'�i( w 141, �'✓,,
1
(41- D 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 LRAMDIN(aSALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received
Complaint Number: 2558
Complainant
Address: Phone:
Investigated By: Date:
Property Owner/Occupant Name Telephone#:
T
A --
�r
a.
CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4rH FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS
LRAMDINna SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: %!.- :�/ ' Time: Received By:
Complaint Number: 2557
Complainant
Address: Phone:
Investigated By: Date:
Property Owner/Occupant Name Telephone #:
gtiWlAd
n r� CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR
�1 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: Time: Received By:
Complaint Number: 2555 _
Complainant _
Address: Phone:
Investigated By: _ Date:
Property Owner/Occupant Name Telephone#:
• 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 LRAMDINCaSALF,M.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2554
Complainant
tiri
f
i
Address: ...-f i'r ., , �- g Phone: !f 4,/)—7
e.
CY
Investigated By: Date:
Property Owner/Occupant Name Telephone #:
; 5 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 LRAMDTN(tVSALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2551
"7
Complainant
Address: j Phone: '7
�aS-z-4s-_so30
uz
4 1 1 1 /�
Investigated By: to rrT � - Date:
Property Owner/Occupant Name Telephone #:
V I p 1 r,"n r_.-tL' 3�-- it
1
J
T'9
a
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 LRAMDIN(R:SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: %, Time: Received By:
Complaint Number: 2549
Complainant —
Address: -- Phone:
Investigated By: Date:
Property Owner/Occupant Name Telephone #:
an CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR
��• MAYOR TEL.(978)741-1800
FAx(978)745-0343
1 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(a-)SALEM.COM
HEALTH AGENT
J COMPLAINT INTAKE FORM
Date: Time: Received By: ;
Complaint Number: 2548
Complainant
Address: ,� � � Iq ILI Phone:
I
l ✓ ! / 11 L
Investigated By: Date:
Property Owner/Occupant Name Telephone#:
i,-,nin l '0 I c-�Jr:t�", LA., 43 H_1 7 r,,
C 1
ox-
i
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 LRAMDINra'SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2544
Complainant
Address: _ -- Phone: -
i
p,.
Investigated By: Date: ,f-2 7 'f Q
Property Owner/Occupant Name _Telephone #:
—�C" -j '1 n..r+J SPy► d Lc 4,r ,i 44
/', ��CN� '�n r i� � ,vie' �' �/" rifn�_� 9'L i�i. ,(�� �r; 1R/D•tiPY -
CITY OF SALEM,MASSACHUSETTS
0
BOARD OF HEALTH
,/� KIMBERLEY DRISCOLL 120 WASHINGTON STREET,44ri'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: Time: Received By:
Complaint Number: 2537 _
Complainant
Address: Phone:
Investigated By: ( � le- Date: j 1 nt9
Property Owner/Occupant Name Telephone #:
a
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR
MAYOR TEL.(978)741-1800
J� FAX(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(a).SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: / 'I Time: Received By:
Complaint Number: 2536
Complainant
Address: Phone:
Investigated By: Date: 2 T
Property Owner/Occupant Name Telephone #:
t ii 4-
/ niU^11
CITY OF SALEM,MASSACHUSETTS
`l BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR
MAYOR TEL.(978)741-1800
01 FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(a)SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: _r' ! Time: Received By:
Complaint Number: 2535
Complainant
Address: Phone:
Investigated By: Date: �7/'f '' `4 '7
i
Property Owner/Occupant Name Telephone#:
4--
Ile
f�y+l�� tnin
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 LRAMDINC SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Q► Time: _ Received By:
Complaint Number: 2532
Complainant i-i i-.Zr--) y ?7-4 J S
Address: Phone:
Yin To rz -tea L1 ��1� t f' s t 3
C71JTSj r?)F, 01- T7i t,
Investigated By: };I Date: 21-1
Property Owner/Occupant Name Telephone #:
C �-,.T rl��+.i L��I nn-f-i nb, S �` S r yn , ��rr i
,
w 1'� ��-��,h ► h (- L a_.-oe_ 0 - -�vy►�_ nT 7 r.crl ec�-i n,
r _
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 LRAMDIN(�-SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: _ Received By:
Complaint Number: 2531
Complainant
Address: Phone:
Investigated By: Date:
Property Owner/Occupant Name Telephone #: _ _
III 2•
n4. CITY OF SALEM, MASSACHUSETTS
""ar 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 LRAMDFN`a..-SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2530
Complainant
Address: Phone:
--- 2 -
Investigated By: ;'�,, . Date: at -
Property Owner/Occupant Name Telephone#:
�..��+—��►t Dp� � i n h �'�r1 r� .-.�,d �..� � % • � �.1t;�n c n bSery
r, � n �,� Cnol4- rnM IC ^12d✓� �'�G�/1 L{,�D1�Lj &4.er P1-a;L
- `
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR
�1 MAYOR (978)741-1800 FAx
FAx(978)745-0343343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMD1Nr&SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: `` Time: Received By: ► ,,�- V
Complaint Number: 2523
Complainant (
!ro vn;' 4 4 Address: ,,, ��,.� �-vF� Phone: -7
� -rnsf�►���, � � � c� �1
line.11F11 tl L,J
b r J
_ 1 ,
Investigated By: Date:
Property Owner/Occupant Name __ _ Telephone#:
CITY OF SALEM, MASSACHUSETTS
n m�
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T'FLOOR
MAYOR TEL.(978)741-1800
1 FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(2SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: / '' / Time: Received By: r
Complaint Number: 2522
Complainant _
Address: Phone:
Investigated By: Date: _
Property Owner/Occupant Name_ _ Telephone#:
CITY OF SALEM MASSACHUSETTS
fir` \
`�' BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TN 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
Date: Time: Received By:
Complaint Number: 2533
Complainant
Address: Phone:
Investigated By: , Date:
Property Owner/Occupant Name Telephone#: 1 _
I rpr► I- ,- �� 1_�n ; Z r�.P� r��i=i�CL c I�nr Cam
71 '40n ,�Ln V J't" Gki
a
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 LRAMDIN[a>SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2528
Complainant _
Address: -Phone:-
Investigated By: Date:
Property Owner/Occupant Name Telephone #:
�`� CITY OF SALEM,MASSACHUSETTS
r i.
`�;_ BOARD OF HEALTH
Paz` KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR
MAYOR TEL.(978)741-1800
FAX(978)745-0343
s'
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINia'SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Dater �� Time: Received By:
—,
Complaint Number: 2526
Complainant
F-.
Address: ; a�� -�-►'a• Phone:
Investigated By: :- , Date: r'Y%Z� f/
Property Owner/Occupant Name Telephone #:
c
1 L �'r ., V�/irL✓r�.N� �@ T CL�I 4 !ki 7✓e z•4, ! Ln
L r /
I / ' / 'T d� � ' J a
45I.X141
&'Mw-
a
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 LRAMDIN,,z.SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2525
Complainant
Address: Phone:
Investigated By: Date:
Property Owner/Occupant Name Telephone #:
Y __
a�
r �} CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY SCOLL 120 WASHINGTON STREET,4T"FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RA.MDIN,RS/REHS,CHO,CP-FS LRAMDIN 4 SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By: � 17 x/',_;
Complaint Number: .2519 �•h �-7y f �j�'�j�j 1
Complainant l — /
ra
Address: r, Phone:
Investigated By: Date:
Property Owner/Occupant Name - Telephone #: -
N he r 06n c��„�_ ;, : (j LA I . Cu
-
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 LRAMDINia SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2518
Complainant
Address: Phone:
Investigated By: Date:
Property Owner/Occupant Name Telephone #:
1
=n � 4' 4L
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 LRAMDINkt7SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: zir, Time: Received By:
Complaint Number: 2515
� ) r
Complainant ?Cr"F �,'��-# 14
7 ✓�
Address: *� ' A Phone:
'/_ --
=_-- t t v i'
Investigated By: ey E,are) cv _Date: /--e - a �
Property Owner/Occupant Name Telephone #:
f AI
-� c y, +e r
,f
4%
r
/ t:
14
I
n ra
Y CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
m
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T'FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIMNSALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date. ��, � _. Time: Received By: v
Complaint Number: 2509 /
Complainant
Address: Phone: q�] 1 11
Investigated By: Date: /n,Z/7 n Q
Property Owner/Occupant Name - Telephone#:
Z
c f' a " CITY OF SALEM, MASSACHUSETTS
_F��
."-w� BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T1'FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINfa-SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Cl Received By: _
Complaint Number: 2508
Complainant
Address: -- Phone:��,1 7—
►"
�!srNA I j,af r I?i + k l-4 1 �h�r he- IASf c; j" 4 -4n_ (/ok,
CIO I'm
r7
Investigated By: _ Date:
Property Owner/Occupant Name Telephone#:
. 7
r
6-0
lCITY 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 LRAMDM&SALEM.COM
HEALTH AGENT
l COMPLAINT INTAKE FORM
Date: 9 Time: / Received By:
Complaint Number: 2502
Complainant >>l
t ! l'
Address: Del!,,�— � Phone:'
�I _ I Ng
Investigated By: Date:
Property Owner/Occupant Name - Telephone#:
&ik
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 LRAMDIN(W SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2500
Complainant
Address: i Lunc:
Investigated By: - Date:
Property Owner/Occupant Name Telephone #
CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,47H FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(2 SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: ,: Time: _ Received By:
Complaint Number: 2499
Complainant ;1hs_ r f
Address: _ : -, � Phone:
.11
Investigated By: Date: ` _ I o;q
Property Owner/Occupant Name Telephone#:
led
I - V nl Roc () ±✓r e T
t
-Vl i +rt r, flict
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 LRAMDIN(k-,SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By: G ,�
Complaint Number: 2497
Complainant
Address: L� vn�r,n�T�- Tr=� Phone:',72—An2=2?6q
Investigated By: ,,. , Date: �j_n� R
—r--, -,•rye
Property Owner/Occupant Name Telephone#:
��Cl �SP rho Xl :, n ✓�,'i;.� i' �1 L6 -- ' rP
I- I� I
C Cit,
f T
N4 ::Ll-k ki,
t
II=n CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4 "FLOOR
MAYOR TEL.(978)741-1800
1 ) FAX(978)745-0343
\ / LARRY RAMDIN,RS/REHS,CHO,CF-FS LRAMDIN(a1SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2496
Complainant
Address: Phone:
Investigated By' __ Date:
Property Owner/Occupant Name Telephone#:
)
Z3 ) j"j
Sri' }, . ��/� vc ' s ` �)vcp . P�►.:.�5 � � r��c
G 1y-,G 1 US, t-1"' 1.' lr C'G A dLo L-))1 H LA t-4 AU)u�
,n CITY OF SALEM,MASSACHUSETTS
_� BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4Tx FLOOR
MAYOR TEL.(978)741-1800
FAx
745-0343
�. LRAMD N�)SALEM COM
�- LARRY RAMDIN,RS/REHS,CHO,CP-FS
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: r ;� t— l Time: f r' ' Received By:
Complaint NumbeAr: 2494 )
Complainant
Address: ,� } _7 �� i: h, , ,•"Phone:
-
Investigated By: r i.(_ Date:
Property Owner/Occupant Name Telephone #:
r
1 l
h— r r 4 W :�a LL � i�� 1" S:n �
�c nm e �
gin. I CITY OF SALEM, MASSACHUSETTS
,;,�,n. '
,� 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 LRAMDINnSALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM i
;a
c`
Date: �V Time: V � '�� Received By:
Complaint Number: 2488
Complainant
Address: Phone:
i /17 Jn IJ
f i
Investigated By: �' Date:
Property Ownet/Occupant Name Telephone #:
r
_V , 7 1
r l
ja
Lout - L i
un
'� CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,41H FLOOR
MAYOR (978)741-1800 FAx
FAx(978)745-0343343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(a SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: 17 )�5 A Time: `� ' �� -� Received By:
Complaint Number: 2484
ComplainantI .
Address: / /l j - > Phone:
r
r
Investigated By: Date: �T/h'Qf71 Q'
Property Owner/Occupant Name Telephone #: •
,C( Intl C-I)i jnDW ,
�- } �^ �'
Slim
=� 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,RS/REHS,CHO,CP-FS LRAMDIN<n,SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: r7/0 Time: f , Received By: sy
Complaint Number: 248}1
Complainant i. ,t ,
Address: �� L �,,,P L)J I '- Phone:
of Z+- kov, ;N
Investigated By: - 4 r�T� 1 Date:
7r
to e. qOk>
Property Owner/Occupant Name +cam Telephone#:
A ( R14
rIzo cY -�= � I
A10
r
r�
l CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR
MAYOR TEL.(978)741-1800 FAx(978)745-0343343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDLNC;SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: _ Received By:
/ f
Complaint Number: 2480
Complainant _
Address: Phone:
Investigated By: ____ Date: 7 /1
Property Owner/Occupant Name_ Telephone #:
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 LRAMDIN SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: � 17,f�� ?I(- Time: _ Received By: p
Complaint Number: 2479
Complainant ��
Address: ,Ik An -r���- Phone:
�4N J
J 'J'
01
Investigated By: Date:
Property Owner/Occupant Name Telephone #:
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 LRAMDIN(a%SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2478
Complainant
Address: i Phone:
Investigated By: i ! _ Date:
Property Owner/Occupant Name Telephone#:
A ell,
V 7
I �v
LA Ztf
L;74;.,
, � ., rlUli ,
ASHY,))
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"H FLOOR
MAYOR TEL.(978)741-1800
y FAX(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDTN a�SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: % Time: r Received By:
Complaint Number: 2476
Complainant 1 "711
Address: Cif, Phone:
f r
f
Investigated By: } ^ -# 'f-y s 1 y Date:
1
Property Owner/Occupant Name Telephone # -
. rr
! 4 CITY OF SALEM, MASSACHUSETTS
` BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR
MAYOR (978)741-1800 FAx
FAX(978)745-034343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIIV&SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: ` : Time: /r Received By:
Complaint Number: 2475
Complainant
Address: - ' Phone:
Investigated By: Date: r0�Z2 01i
Property Owner/Occupant Name Telephone#:
VJQl'i.' ,00c Qorr.wgmie , 0tiymak, renne-k Q 4-be DjanHo"
I � � r,
I
j
r \
an k CITY OF SALEM,MASSACHUSETTS
'��'�"`� � BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHEVGTON STREET,4"FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN AaSALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2269
Complainant
Address: Phone:
Investigated By: _ Date:
Property Owner/Occupant Name Telephone #:
a
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T11 FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN[0.'SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2495
Complainant
Address: Phone:
Investigated By: Date:
Property Owner/Occupant Name _ Telephone #:
CITY OF SALEM, MASSACHUSETTS
'? BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T1;FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINQSALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
bate: Time: Received By:
Complaint Number: 2278
Complainant
Address: ' !_t r L4,t !W _Phone:
v'
�!
j -fir
Investigated By: Date:
Property Owner/Occupant Name _ Telephone #:
-'`owurR'�..
Lr�
r CITY OF SALEM, MASSACHUSETTS
arm 4'3 :
`,. ,;„� BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T'FLOOR
i MAYOR TEL.(978)741-1800
j FAx(978)745-0343
` LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN,a SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2297
Complainant _
Address: Phone:
Investigated By: _ _ Date:
Property Owner/Occupant Name _ Telephone #: