BoH Complaint_Submission223_10/29/2019 10:58:04 AM_ �ONDIT,� Board of Health Complaint form
This form captures submitted complaints for Salem's Board of Health
department to investigate.
9
�J,p�,�/M►niEoo� Fields with a * are required to be entered. Some fields are greyed
out but will auto populate from other field entries on the same form.
KIMBERLEY DRISCOLL
MAYOR
DAVID GREENBAUM,IRS
HEALTH AGENT
Date* 10/29/2019
10:58:04 AM
Complaint Type* Rodents
Street Number
Street Name* PROCTOR STREET
Unit Number
Occupant Name
Parcel ID
Inspector Account SALEM\dgreenbaum
Ward M
Land Use
Complainant Shannon Allworth
Name*
Complainant Phone 978-998-9515
Number* --
Complainant Email
Address
Comment:* Rats and rat feces seen on Proctor Street near Gallows Hill Park.
CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
98 WASHINGTON STREET,3RD FLOOR
TEL.(978)741-1800
Dgreenbaum@SALEM.COM