Health Inspection Activity Tracking_Submission1305_12/16/2019 2:51:19 PM_ Inspection Activity Tracking Sheet
Assigned Inspector Janice Orta
BOH Complaint 1304
Submission ID
Owner from CHALUPOWSKI CHESTER J JR
AssessPro
Owner Address from 119 WATER ST U65
AssessPro
Comment:* Tenant moved and left several bags of trash on sidewalk.
Location Street 13
Number
Street Name* BECKET STREET
ParcellD Land Use
41-0128-0 Three Fam.
Inspection Visits ^
Initial Inspection Pictures Taken
01/14/2020 r F-
Yes No
Violation Letter Sent
Reinspection
Reinspection Date
Communication ^
Phone contact
Contact Date Time Direction Narrative
Row 1 r Incoming
r Outgoing
Citations ^
Ticket# Date Amount
Court Involvement
Court Case? ❑ Yes r No
Court Date Case number
Court case notes
Notes:
Please make sure to date your entries in this large field.
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Compliance
Form will be able to submitted when the Date of compliance has been entered.
Date of Compliance 1/1/2020
Inspector Please type your name
Janice Duhaime