BoH Complaint_Submission1390_2/20/2020 3:42:29 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* 2/20/2020
3:42:29 PM
Complaint Type* Trash
Street Number
Street Name* FIRST STREET
Unit Number
Occupant Name
Parcel ID 13-0010-0
Inspector Account SALEUJbarosy
Ward 3
Land Use Youth serv.
Complainant Anonymous
Name*
Complainant Phone 555-555-1234
Number*
Complainant Email
Address
Comment:* Between Traders Way and First Street,8-10 yellow trash bags
were put out, but were not collected.They've been there for two
weeks and are breaking,trash is leaking on to the sidewalks and
attracting rodents.
CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
98 WASHINGTON STREET,3RD FLOOR
TEL.(978)741-1800
Dgreenbaum@SALEM.COM