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BoH Complaint_Submission229_11/6/2019 3:36:33 PM_ �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* 11/6/2019 3:36:33 PM Complaint Type* Trash Street Number 19 Street Name* JACKSON STREET Unit Number Occupant Name Parcel ID 25-0147-0 Inspector Account SALEM\Jbarosy Ward 3 Land Use One Family Complainant Ann Carbone Name* Complainant Phone 978-745-0569 Number* m� Complainant Email Address Comment:* Complaint is actually for ACROSS THE STREET FROM 19 JACKSON STREET: Mattresses dumped in the parking area of the middle school. Complainant suggested we post a no dumping sign because people often dump things there. CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH 98 WASHINGTON STREET,3RD FLOOR TEL.(978)741-1800 Dgreenbaum@SALEM.COM