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BoH Complaint_Submission252_10/25/2019 11:00:38 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* 10/25/2019 11:00:38 AM Complaint Type* Other Street Number 186 Street Name* ESSEX STREET Unit Number Occupant Name Witch City Ink Parcel ID Inspector Account SALEM\dgreenbaum Ward M Land Use Complainant Mary Name* Complainant Phone 978-216-0981 Number* � Complainant Email Address Comment:* Complainant states she received a tattoo on her ribs on Friday 10/18/2019 at Witch City Ink. She was tattooed at the back of the establishment and could be seen by passersby from the outside. Also,the artist drawing her tattoo took a break at one point to smoke a cigarette and he did not wash his hands after he returned. CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH 98 WASHINGTON STREET,3RD FLOOR TEL.(978)741-1800 Dgreenbaum@SALEM.COM