BoH Complaint_Submission240_10/18/2019 9:23:44 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* 10/18/2019
9:23:44 AM
Complaint Type* Restaurant/Food
Street Number
Street Name* NORMAN STREET
Unit Number
Occupant Name Hong Kong King
Parcel ID
Inspector Account SALE%Jbarosy
Ward 3
Land Use
Complainant Cairo
Name*
Complainant Phone 860-307-3698
Number* A�
Complainant Email
Address
Comment:* Their grease trap is getting grease all over their property and the
walkway.
CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
98 WASHINGTON STREET,3RD FLOOR
TEL.(978)741-1800
Dgreenbaum@SALEM.COM