BoH Complaint_Submission241_11/4/2019 6:20:25 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* 11/4/2019
6:20:25 PM
Complaint Type* Other
Street Number
Street Name* Other(Please note reason in comment field)
Unit Number
Occupant Name
Parcel ID
Inspector Account
Ward
Land Use
Complainant Neil Papamechail
Name*
Complainant Phone 978-944-5504
Number* m�
Complainant Email
Address
Comment:* Re: Stop&Shop @ 19 Howley Street in Peabody
Complainant states the bathrooms are not only not ADA compliant,
but they had no toilet paper and no toilet paper holder. He watched
an employee just go in and initial that the bathroom was checked,
but they did not check it.
CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
98 WASHINGTON STREET,3RD FLOOR
TEL.(978)741-1800
Dgreenbaum@SALEM.COM