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MEETING PACKET DECEMBER 2015 CITY OF SALI✓Ni, MASSACHUSFT'1'S 1P BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR Pub&Hean Prevent.Promote.Prottet. TEL. (978) 741-1800 FAx (978) 745-0343 K MBERLBY DR scoLL lramdin e,salern.com LARRY R,\MI)IN,RS/11H IS,falU,l.:P-I S MAYOR H1;ALTI I AUENT NOTICE OF MEETING You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting Tuesday December 8, 2015 at 7:00 PM City Hall Annex 120 Washington Street 3`d Floor Room 313 MEETING AGENDA 1. Call to order 1015 DEC -3 A 11: 04 2. Approval of Minutes 3. Chairperson Communications CITY CLF_lti .1.Ef1> Mo AC;, 4. Public Health Announcements/Reports/Updates a. PHN Report b. Health Agent c. Administrative d. Council Liaison Updates 5. Joyce Redford Director of North Shore/Cape Ann Alcohol and Tobacco Policy Program- Continued discussion and vote on program policy and procedures; overview of products on the market. 6. Shared Kitchen— Continuation 7. Protocols for evaluating Health Agent 8. New Business/Scheduling of future agenda items Larry Ramdin Health Agent cc: Mayor Kimberley Driscoll, Board of Health, City Councilors Next regularly scheduled meeting is January 12, 2016 at 7pm at City Hall Annex, 120 Washington Street 3`d Floor Room 313. Know your rights under the open meeting law MGL chapter 30A ss. 18-25 and City Ordinance section 2-2028 through 2-2033 This notice posted on "Official Bulletin Board" City Hall, Salem, Mass. on DEC (G � 2015 at ��, in accordance wlffh IVI"G Chap. 30A, Sections 18-25. CITY OF SALEM BOARD OF HEALTH MEETING MINUTES November 10, 2015 DRAFT MEMBERS PRESENT: Paul Kirby Acting Chair, Mark Danderson, Janet Greene, & Dr. Jeremy Schiller OTHERS PRESENT: Larry Ramdin, Health Agent & Heather Lyons-Paul Clerk of the Board Members Excused: Dr. Shama Alam, Chair TOPIC DISCUSSION/ACTION 1. Call to Order 7:00pm 2. Minutes of Last Meeting Dr. Schiller motioned to approve the minutes. 2"d M (Oct. 13, 2015) Danderson All in favor. Motion passed 3. Chairperson Announcements Discussion on the FDA tobacco pilot program. 4. Monthly Reports-Updates A. Public Health Nurse's Report No Public Health Nurse's report due to vacancy in the PHN position. B. Health Agent's Report Discussion on food trucks. Haunted Happenings wrap up Copy available at the BOH office C. Administrative Report Copy available at the BOH office D. City Council Liaison Updates No updates J. Greene motioned to accept reports. M. Danderson 2"d All in favor. Motion Passed 5. Joyce Redford Director of North Shore/Cape Ann Alcohol and Tobacco J Greene motioned to postpone discussion Policy Program— Continued discussion until the December meeting. Dr. Schiller on program policy and procedures on 2"d All in favor Motion passed the market 6. Shared Kitchen—Information on The Health Agent raised the issues of shared protocol and regulatory requirements kitchens with the Board. Individuals renting the space will have to apply for a permit through this department. Discussion was based around protocols for cleaning, storage for individual vendors, operation times for individuals, and utensils and equipment storage. The discussion yielded that The Board is in favor of shared kitchens as long as they meet the same standards for permitted retail food establishments. The Board delayed any formal action until the chair is present and has an opportunity to discuss. 7. Protocol for evaluating Health Agent Janet Greene has edited parts of the evaluation and will send copies to the other members. J Greene motioned to postpone discussion until the December meeting. Dr Schiller 2nd All in favor. Motion passed 8. New Business /Scheduling of future agenda items Future agenda items: Tobacco Control procedures, protocol for Health Agent evaluation, and Shared Kitchen continuation. 9. MEETING ADJOURNED: M Danderson motioned to adjourn the meeting. Dr Schiller 2nd All in favor. Motion passed 8:15pm Respectfully submitted, 1 Heather Lyons-Paul Clerk of the Board Next scheduled m e u regularlye et' r h d l meeting is December 11, 2015 at 7pm At City Hall Annex, 120 Washington Street,Room 313 Salem. • Health Agent report December 2015 • Announcements • Councillor Josh Turiel was elected City Council President for 2016 term • Councillor Beth Gerard was appointed Chair of the Health Safety and Environment Committee, she has also retained the Board of Health Liaison position Community Outreach • David Greenbaum attended a briefing session on the Determination of Need funding resulting from improvements to Salem Hospital Meetings and Trainings • Larry Ramdin attended an informational session on a mini- grant on Healthy Community Design and Mass in motion. Salem will be applying for a grant to assess transportation resources in the city as it is related to the aging community. • David Greenbaum attended the problem properties task force meeting and North Elder • Services Inspections Item Monthly Total YTD 2014 Total Certificate of Fitness 35 534 559 Inspection Certificate of Fitness 0 4 17 re-inspection Food Inspection 2 263 384 Food Re-inspections 3 55 124 r 1 Retail Food 4 18 23 Inspections Retail Food 0 1 7 re-inspection General Nuisance 1 25 14 Inspections Food— 0 0 1 Administrative Hearings Housing Inspections 10 181 183 Housing re- 1 37 39 inspections Rodent Complaints 0 19 23 Court 1 7 10 Hearings/filings Trash Inspections 15 138 218 • Orders served by 3 7 2 Constable Tanning Inspections 4 7 1 Body Art 1 1 1 Swimming pools 0 17 23 Bathing Beach 0 106 100 Inspection/testing Recreational Camps 0 12 14 • Retail Food 4 18 23 Inspections Retail Food 0 1 7 re-inspection General Nuisance 1 25 14 Inspections Food— 0 0 1 Administrative Hearings Housing Inspections 10 181 183 Housing re- 1 37 39 inspections Rodent Complaints 0 19 23 Court 1 7 10 Hearings/filings Trash Inspections 15 138 218 Orders served by 3 7 2 Constable Tanning Inspections 4 7 1 Body Art 1 1 1 Swimming pools 0 17 23 Bathing Beach 0 106 100 Inspection/testing Recreational Camps 0 12 14 Lead Determination 0 1 1 Septic Abandonment 0 0 1 Septic System Plan 0 0 1 Review Soil Evaluation 0 0 1 Percolation tests 0 0 2 Total 80 1433 1739 • Overdose variables-Salem Calendar Year 2015 15 fatals 2013 87 2015 123 2016 Ods2 2014 124 kJan-16- Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 #Overdoses 7 7 7 #Fatal 0 1 1 Gender Male 4 4 5 Female 3 3 2 Age <25 2 25-30 2 4 3 31-40 3 2 3 41-50 1 1 51+ Race/Ethnicity White/Non-Hisp 7 6 7 African American 1 Hispanic Asian Narcan 6 7 6 Unknown Mode of use IV 6 1 4 Eftkl 4 Mixing* 4 1 Rx Opiates LON COC/FENT Relapse/Low tolerance S/D 1 S/D *If indiviudal admits to mixing opiates and other drugs,what were they? Health Dept. Clerical Report FY 0 t ep AT p Burial Permits Permits Plan Reviews Certificate of Copies / Fines Revenue Permit Fees $25 Fitness $50 July-14 $475.00 $2,210.00 $1,950.00 $4,635.00 Food Service Est. <25 seats $140 August $700.00 $985.00 $1,500.00 $3,185.00 2S-99 seats $28o >99 seats $420 September $1,475.00 $2,165.00 $4,300.00 $300.00 $8,240.00 Retail Food <i000sq' s7o October $725.00 $3,295.00 $1,400.00 $5,420.00 1000-10,000 $28o >1o,000 $420 November $600.00 $2,384.14 $180.00 $1,400.00 $200.00 $4,764.14 Temp.Food 13days s3oo December $0.00 4-7days shoo 1>7days s January-15 Example of>7 day temp food permit. $0.00 14(da s)divided bY 7=2 x$600=$1200 February $0.00 Frozen Desserts $25 March $0.00 Mobile Food $210 April $0.00 Plan Reviews New s18o May $0.00 Remodel sgo June Catering $25 perevent/s2oo $0.00 catering kitchen Body Art Est. $315 Total $3,975.00 $11,039.14 $180.00 $10,550.00 $500.00 1 $26,244.14 Body Art Practitioner 135 Review Plans s18o Fiscal Year Budget 2014 Suntan Est. $140 Rec.Day Camp $10 Salary Startinq Endinq Expenses Ext.Paint Removal $35 Full Time $357,223.00 $221,715.09 Startinq Endinq Transport Off.Subst. slo5 Part Time $16,545.00 $12,810.00 $18,300.00 $7,138.00 Tobacco Vendors $135 Overtime $2,000.00 $272.30 Swimming Pools Seasonal $140 Balance $375,768.00 $234,797.39 Health Clinic Revolving Account Annual$210 Nonprofit$40 $13,129.S6 Title V Review s18o Well Application s18o Disposal works $225118o i Municipal Tobacco Control Technical Assistance Program Donald J.Wilson,Director c/o Massachusetts Municipal Association (617)426-7272 One Winthrop Square FAX(617)695-1314 Boston,Massachusetts 02110 djwilson@mma.org MEMORANDUM TO: Joyce Redford, Director of the North Shore/Cape Ann TAPP FROM: D. J. Wilson RE: Municipal Pilot Program Regarding FDA Compliance Checks DATE: November 3, 15 Under the Home Rule Amendment for city ordinances and town by-laws, or under M.G.L. Ch. 111, Section 31 for health regulations, municipalities in Massachusetts may assess fines and/or permit suspensions to retailers that violate their local tobacco sales policies. In most cases, these municipalities also utilize the Non-Criminal Disposition method of ticketing which allows for a civil ticket after the municipal enforcement entity receives authority to do so through either town meeting or city/town council. Violators are most commonly caught during an adult-supervised compliance check when an under-aged youth, trained according to a statewide protocol, attempts to purchase a tobacco product. Concurrent to these locally-conducted compliance checks, the U.S. Food and Drug Administration(FDA) also conducts their own compliance checks, using a protocol that mostly mimics that used by Massachusetts cities and towns. The FDA does not divulge when they are doing compliance checks or which local retailers they will visit. Within three business days of a potential violation, the FDA will notify that retailer by mail. While the FDA does not notify the municipality of the potential violation, the compliance check results will be posted on the FDA website, generally within eight to ten weeks of the sale (currently the Mass. Health Officers Association does notify municipalities of violations). However, due to lack of local authority and the longer period of time it takes for that FDA website posting to occur, municipalities cannot also penalize on those FDA compliance checks. In place of a penalty, some cities and towns, upon receiving FDA notification, will ask the violating retailer to attend a board of health meeting to explain how the tobacco sale to a minor happened and what they intend to do to rectify the problem to avoid future illegal sales. A number of cities and towns have inquired as to how to utilize their local penalty scheme against a retailer caught in an FDA compliance check. A pilot project was established for this purpose. The participating cities and towns deputize the FDA compliance officer, often times someone they currently use, or have used in the past, for their own compliance checks. With proper deputization, that FDA compliance officer can immediately notify the board of health of FDA violations by completing an MTCP compliance check form and record a failed compliance check as both an FDA offense and a local offense. Prior to actively using this format, municipalities should inform their tobacco sales permittees that they will be subject to two sets of penalties if they sell tobacco products to minors. As to procedure,the FDA will continue to use their protocol and the participating municipality shall use their protocol. If a retailer wishes to appeal the penalty, appeal procedures for each are separate and can be found on the FDA website and within the local measure. Outside of Massachusetts,both Georgia and Connecticut have instituted a protocol to issue a state-level ticket on an FDA-conducted compliance check in addition to the penalties issued by the FDA. In both instances, rather than utilize one compliance officer as we do in Massachusetts, an FDA compliance officer and a state-level person attend to the compliance check resulting in the state-level person witnessing the sale and then issuing a state ticket to that retailer. In this scenario, the FDA compliance officer then follows the same penalty protocol used in Massachusetts FDA compliance checks. The FDA law does not preempt or otherwise block boards of health from enforcing their tobacco regulations. In authorizing the FDA to regulate tobacco under the Family Smoking Prevention and Tobacco Control Act of 2009, Congress stated '[n]othing in this chapter, shall ... limit the authority... any state or political subdivision of a state to enact, adopt,promulgate, and enforce any law, rule, regulation...for the sale, distribution,possession ... of tobacco. (21 US sec. 917(a)1). Therefore, if a board of health has evidence of a violation of its regulation, it is well within its scope of legal authority to act. In this pilot program, a deputized agent of the board of health provides such evidence. The fact that this person is also collecting evidence of FDA violations makes no difference. He or she has full authority to act in both capacities. Someone might argue that double jeopardy blocks this dual enforcement. That claim is wrong. Double jeopardy blocks multiple prosecutions against someone by one sovereign government. Since our constitutional system interprets our federal, state and local governments as different sovereign governments, each has a chance to pursue prosecutions. There are several examples of such multiple prosecutions when it comes to criminal matters. In the civil context,the tobacco industry itself was sued under the civil laws of both the state and federal governments for the exact same behavior, deceiving the public about the harm caused by tobacco use. A Technical Assistance Project for cities and towns funded through a Massachusetts Department of Public Health grant to the Massachusetts Municipal Association. Massachusetts Retail Data Management System Welcome Joyce Redford Change My Password(Edit my Profile I Logout 12 MTCP Massachusetts Tobacco Control Program Home I Compliance Checks Inspections Pricing I Enforcement I Establishments I Administrative I Users Create New survey I View/Edit Surveys I Create Survey Using Route I Reports Chain Store Sales Report I Establishment Compliance Check History I Compliance Check Results by Municipality I Municipal Compliance Check Data Summary Report Excel Spreadsheet of All Compliance Check data fields I Route Authorization Form I Statewide Sales Summary Report I Enforcement Data Report I Liquor License Establishment Sales Report Stores Where Under 27 Material is Displayed Compliance Check Results by Municipality Towns: Salem From Date: 01-01-2013 To Date: 12-05-2013 Survey Type Output Formats: Q CSV @ HTML O PDF Generate Report Types Establishment Address Style Type Date Time YouthlD Completed sale Made Compliance SALEM LIQUOR 125 CANAL ST Liquor Store Independent 02-25-20PM06:25:00 Football(9692264) Yes Yes SUNOCO 145 CANAL ST Gas Mini-Mart Chain 02-25-201^07:08:00 Football(9692264) Yes Yes SALEM GRIL Z CHICKEN 105 LAFAYETTE ST Other Independent 02-25-20PM07:59:00 basketball) Yes Yes WALYOS VARIETY 20 ESSEX ST Other Independent 02-25-20113 08:38:00PM Football(9692264) Yes Yes 3 N CONVENIENCE 35 PARADISE RD Convenience Independent 02-25-2013 449406(6107018) Yes No SPEEDWAY 295 DERBY ST Gas Mini-Mart Chain 02-25-20PM08:28:00 Football(9692264) Yes No BANI MARKET 70 HARBOR ST Grocery Store Independent 02-25-2013 008:24:00PM 449406(6107018) Yes No MARCS MARKET 51 HARBOR ST ConStorence Independent 02-25-20PM08:28:00 449406(6107018) Yes No Convenience 02-25-2013 08:14:00 NYFC FOOD MARKET 21 SALEM ST Store Independent PM Football(9692264) Yes No TROPICANA MARKET 24 PALMER ST Grocery Store Independent 02-25-2013 08:16:00PM Football(9692264) Yes No CONGRESS MARKET 95 CONGRESS ST Grocery Store Independent 02-25-2013 08:12:00 Football(9692264) Yes No LOS AMIGOS SUPERMARKET 122 LAFAYETTE ST Other Independent 02-25-2013 07:58:00PM Football(9692264) Yes No MY CONVENIENCE GROCERY 111-113 LAFAYETTE Convenience Independent 02-25-2013 07:57:00ST PM 449406(6107018) Yes No FRIENDLY MINI MARK 235 LAFAYETTE ST Convenience Independent 02-25-2013 07:50:00Store PM 449406(6107018) Yes No SUNNY CORNER 335 LAFAYETTE ST Conveni nce Independent 02-25-2013 07:48:00 Football(9692264) Yes No torePM WHITE DOVE MARKET 59 LORING AV Other Independent 02-25-2013 07:44:00 Football(9692264) Yes PM No LORING LIQUORS 70A LORING AV Liquor Store Independent 02-25-2013 07:40:00 PM 449406(6107018) Yes No TEDESCHI 72 LORING AVE Convenience Chain 02-25-201307:37:00Stor PM 449406(6107018) Yes No GLOBAL 200 CANAL ST Gas Mini-Mart Independent 02-25-2013 07:23:00PM Football(9692264) Yes No RICHDALES 84 HIGHLAND AVE Conve ore Chain 02-25-2013 06:32:00 Football(9692264) Yes No PM CROSBYS MARKET PLACE 125 CANAL ST Other Independent 02-25-2013 06:47:00 449406(6107018) Yes No PM CROSBYS MARKET PLACE 125 CANAL ST Other Independent 02-25-2013 06:47:00 449406(6107018) Yes No PM KWIK SHOP OF SALEM 10 JEFFERSON AV Convenience Independent 02-25-2013 06:45:00Store PM Football(9692264) Yes No BP 94 JACKSON ST Gas Mini-Mart Chain 02-25-2013 06:40:00PM Football(9692264) Yes No NICOLES MINI FOOD STORE 406 ESSEX ST Convenience Independent 02-25-2013 06:35:00Store PM 449406(6107018) Yes No MARKET BASKET 227 HIGHLAND AV Supermarket Chain 02-25-2013 06:28:00PM 449406(6107018) Yes No SHAWS SUPERMARKET 11 TRADERS WAY Supermarket Chain 02-25-20PM06:22:00 449406(6107018) Yes No • BUSA WINE AND SPIRITS 21 TRADERS WAY Liquor Store Independent 02-25-2013 06:23:00 Football(9692264) Yes No PM CIRCLE K 323 HIGHLAND ST Gas Mini-Mart Chain 02-25-2013 06:15:00 Football(9692264) Yes No PM FAMILY DOLLAR 138 CANAL ST Department Store Chain 02-25-20PM06:53:00 449406(6107018) Yes No LAFAYETTE MARKET 183A LAFAYETTE ST Other Independent Football(9692264) No N/A 02-25-2013 06:56:00 PM PUMP N PANTRY 10 PARADISE RD Gas Mini-Mart Independent 02-25-20113 9:00:00 Football(9692264) Yes No PM • ZIGGY AND SONS DONUTS 2 ESSEX ST Restaurant Independent 02-25-20P�08:30:00 449406(6107018) No N/A RICHDALE CONVENIENCE 31 BRIDGE ST Convenience Chain 03-04-2013 07:20:00 26730615680999 STORE Store PM ( ) Yes Yes CITGO 105 NORTH ST Gas Mini-Mart Chain 03-04-2013 06:35:00PM Football(9692264) Yes Yes QUICK PICK CONVENIENCE 207 NORTH ST ConSeoni nce Independent 03-04-2013 06:14:00 267306(15680999) Yes Yes PM MOBIIL SAMS MARKET 94 BRIDGE ST Convenience Independent 03-04-201^07:40:00 Football(9692264) Yes No F G COSGROVE 26 BRIDGE ST Other Independent 03-04-20113 07:38:00PM Football(9692264) Yes No NEW MARKET 109 BRIDGE ST Grocery Store Independent 03-04-20P^07:17:00 267306(15680999) Yes No BUNGHOLE LIQUORS 204 DERBY ST Liquor Store Independent 03-04-2013 07:00:00PM Football(9692264) Yes No QUALITY LIQUORS 5 GEDNEY ST Other Independent 03-04-20113 07:04:00 267306(15680999) Yes No PM RED LION SMOKE SHOP 94 WASHINGTON ST Other Independent 03-04-2013 06:59:00PM 267306(15680999) Yes No STEVES QUALITY MARKET 38 MARGIN ST Convenience Independent 03-04-2013 07:04:00 Football(9692264) Yes No PM 7 ELEVEN 28 NORMAN ST ConSeorence Chain 03-04-2013 06:55:00 Football(9692264) Yes No PM SPEEDWAY 90 NORTH ST Gas Mini-Mart Chain 03-04-2013 06:50:00PM 267306(15680999) Yes No 7-ELEVEN 126 NORTH ST Convenience 03-04-2013 06:33:00 Store Chain PM 267306(15680999) Yes No SALEM LIQUOR 128 NORTH ST Liquor Store Independent 03-04-2013 06:32:00PM Football(9692264) Yes No ARGES LIQUOR 18 BOSTON ST Liquor Store Independent 03-04-2013 5:58:00PM Football(9692264) Yes No A L PRIME ENERGY 175 LAFAYETTE ST Gas Mini-Mart Independent 03-04-20113 06:10:00 267306(15680999) No N/A PM YOUR NEIGHBORHOOD 103 SCHOOL ST Convenience Independent 03-04-2013 06:10:00 Football(9692264) Yes No MARKET Store p PM ( 4) SHELL 146 BOSTON ST Gas Mini-Mart Chain 03-04-2013 06:05.00PM 267306(15660999) Yes No WITCH DR 109 LAFAYETTE ST Other Independent 03-04-20P^07:45:00 Football(9692264) No N/A SALEM LIQUOR 128 NORTH ST Liquor Store Independent 06-13-2013 04:41:00 267306(15680999) Yes Yes PM YOUR NEIGHBORHOOD Convenience 06-13-2013 04:05:00 MARKET 103 SCHOOL ST Store Independent PM 267306(15680999) Yes Yes TROPICANA MARKET 24 PALMER ST Grocery Store Independent 06-13-201^05:25:00 267306(15680999) Yes Yes 7 ELEVEN 28 NORMAN ST Conveonience Chain 06-13-2013 005:41:00 PM 267306(15680999) Yes Yes GLOBAL 200 CANAL ST Gas Mini-Mart Independent 06-13-2013 06:09:00PM 267306(15680999) Yes Yes SALEM GRIL Z CHICKEN 105 LAFAYETTE ST Other Independent 06-13-201^05:20:00 267306(15580999) Yes No SALEM LIQUOR 125 CANAL ST Liquor Store Independent 06-13-2013 267306(15680999) Yes No RICHDALES 84 HIGHLAND AVE Conve fence Chain 06-13-201P^07:03:00 267306(15680999) Yes No QUALITY LIQUORS 5 GEDNEY ST Other Independent 06-13-201^07:03:00 449406(6107018) Yes Yes CONGRESS MARKET 95 CONGRESS ST Grocery Store Independent 06-13-201 305:30:00 449406(6107018) Yes No 7-ELEVEN 126 NORTH ST Convenience Chain 06-13-2013 04:43:00 PM 449406(6107018) Yes No SUNOCO 145 CANAL ST Gas Mini-Mart Chain 06-13-2013 07:08:00PM 449406(6107018) Yes No FRIENDLY MINI MARK 235 LAFAYETTE ST Convenience Independent 06-13-2013 06:37:00 Pm 449406(6107018) Yes No NICOLES MINI FOOD STORE 406 ESSEX ST Convenience Independent 06-13-20133 06:58:00 PM 449406(6107018) Yes No 13 06.58.00 PUMP N PANTRY 10 PARADISE RD Gas Mini-Mart Independent 06-13-20PM 449406(6107018) Yes No NYFC FOOD MARKET 21 SALEM ST CO"Storence Independent 06-11-20P^07:11:00 267306(15680999) Yes Yes SPEEDWAY 295 DERBY ST Gas Mini-Mart Chain 06-11-2013 06:49:00PM 167915(11223007) Yes Yes WALYOS VARIETY 20 ESSEX ST Other Independent 06-11-2013 06:44:00PM 267306(15680999) Yes No NEW MARKET 109 BRIDGE ST Grocery Store Independent 06-11-2013 06:39:00 167915(11223007) Yes No RICHDALE CONVENIENCE Convenience 06-11-2013 06:2100 STORE 31 BRIDGE ST Store Chain PM 167915(11223007) Yes No CIRCLE K 323 HIGHLAND ST Gas Mini-Mart Chain 06-24-2013 12:04:00 267306(15680999) Yes Yes PM WHITE DOVE MARKET 59 LORING AV Other Independent 06-24-2013 01:05:00PM 267306(15680999) Yes Yes SHELL 146 BOSTON ST Gas Mini-Mart Chain 06-24-20113 12:32:00 267306(15680999) Yes No PM TEDESCHI 72LORINGAVE Converence Chain 06-24-2013312:55:00 267306(15680999) Yes No PM QUICK PICK CONVENIENCE 207 NORTH ST Convenience Independent 06-13-201304:58:00Stor PM 267306(15660999) Yes No KWIK SHOP OF SALEM 10 JEFFERSON AV Convenience Independent 06-13-2013 06:43:00 PM 267306(15680999) Yes Yes ©Commonwealth of Massachusetts Site Policy Contact Us Help Site Map Massachusetts Retail Data Management System Welcome Joyce Redford Change My Password I Edit my Profile Logout 12 MTCP Massachusetts Tobacco Control Program Home I Compliance Checks I Inspections I Pricing I Enforcement I Establishments I Administrative I Users Create New Survey I View/Edit Surveys I Create Survey Using Route I Reports Chaln Store Sales Report I Establishment Compliance Check History I Compliance Check Results by Municipality I Municipal Compliance Check Data Summary Report Excel Spreadsheet of All Compliance Check data fields I Route Authorization Form I Statewide Sales Summary Report I Enforcement Data Report I Liquor License Establishment Sales Report Stores Where Under 27 Material is Displayed Compliance Check Results by Municipality Towns: Salem ,/ From Date: 01-01-2014 To Date: 12-05-2014 Survey Type: ALL v Output Formats: O CSV @ HTML 0 PDF Generate Report Survey Establishment Address Style Type Date Time Youth ID Completed Sale Types Made Compliance GLOBAL 200 CANAL ST Gas Mini-Mart Independent 01-21-2011404:08:00 PM 1267306 Yes Yes WHITE DOVE MARKET 59 LORING AV Other Independent 01-21-201 404:44:00 1226677300066 999 Yes Yes CORING LIQUORS 70A CORING AV Liquor Store Independent 01-21-20PM04:33:00 15566800999g Yes Yes A L PRIME ENERGY 175 LAFAYETTE ST Gas Mini-Mart Independent 01-21-2014 05:06:00 267306 No N/A PM 15680999 SUNNY CORNER 335 LAFAYETTE ST Convenience Independent 01-21-2014 04:58:00 267306 yes No Store PM 15680999 FRIENDLY MINI MARK 235 LAFAYETTE ST Convenience Inde pendent 01-21-2014 05:03:00 267306 Yes No Store P PM 15680999 TEDESCHI 72LORINGAVE Convenience Chain 01-21-201404:28:00 267306 Yes No Store PM (15680999) FAMILY DOLLAR 138 CANAL ST Department Stare Chain 01-21-2014 04:01:00 PM 126 6730Yes No SUNOCO 145 CANAL ST Gas Mini-Mart Chain 01-21-2014 3:57:00 PM 122667730066 999) Yes No CIRCLE K 323 HIGHLAND ST Gas Mini-Mart Chain 01-21-2014�03:08:00 122G67330066 Yes No SHAWS SUPERMARKET 11 TRADERS WAY Supermarket Chain 01-21-2014�03:16:00 122667330066 Yes No MARKET BASKET 227 HIGHLAND AV Supermarket Chain 01-21-20P4M03:20:00 (1267306 Yes No BUSA WINE AND SPIRITS 21 TRADERS WAY Liquor Store Independent 01-21-2014 3:26:00 (125667300066PM 999) Yes No RICHDALES 84 HIGHLAND AVE Convenience Chain 01-21-2014 03:31:00 267306 Yes No Store PM 15680999 Convenience 01-21-201403:35:00 267306 NICOLES MINI FOOD STORE 406 ESSEX ST Store Independent PM 15680999 Yes No 7 ELEVEN 28 NORMAN ST Convenience Chain 01-21-2014 03.41:00 267306 Yes No Store PM 15680999 QUALITY LIQUORS 5 GEDNEY ST Other Independent 01-21-20114 03:44:00 (122667730006gg) Yes No Convenience 01-21-201403:47:00 267306 STEVES QUALITY MARKET 36 MARGIN ST Store Independent PM 15680999 Yes No SALEM LIQUOR 125 CANAL ST Liquor Store Independent 01-21-2014 3:54:00 226673 PM (10906gg) Yes No LOS AMIGOS SUPERMARKET 122 LAFAYETTE ST Other Independent 01-21-20p4M05:11:00 1226677300066 Yes No KWIK SHOP OF SALEM 10 JEFFERSON AV Convenience Independent 01-25-201411:40:00 267306 yes Yes Store AM 15680999 WALYOS VARIETY 20 ESSEX ST Other Independent 01-25-201412:18:00 267306PM 156,0999 Yes Yes NYFC FOOD MARKET 21 SALEM ST Convenience Independent 01-25-2014 01:41:00 267306 yes Yes Store PM 15680999 BUNGHOLE LIQUORS 204 DERBY ST Liquor Store Independent 01-25-201412:06:00 267306 t PM (15680999) Yes Yes 201401:14:00 26730625- CONGRESS MARKET 95 CONGRESS ST Grocery Store Independent Ot- PM 15680999 Yes Yes 111-113LAFAYETTE Convenience 01-25-201402:01:00 267306 MY CONVENIENCE GROCERY ST Store Independent PM 15680999 Yes Yes SHELL 111 NORTH ST Gas Mini-Mart Chain 01-25-2011411:10:00 (12566733g06gg) Yes Yes • 01-25-201410:43:00 568099 SHELL 146 BOSTON ST Gas Mini-Mart Chain AM 1267306 Yes Yes RED LION SMOKE SHOP 94 WASHINGTON ST Other Independent 01-25-2014 2:57:00 (12266730006gg) Yes Yes SALEM GRIL Z CHICKEN 105 LAFAYETTE ST Other Independent 01-25-2014 2:03:00 1226673306 Yes Yes MARCS MARKET 51 HARBOR ST Independent Yes Yes Convenience 01-25-201401:27:00 267306 Store PM (15680999) ZIGGY AND SONS DONUTS 2 ESSEX ST Restaurant Independent 01-25-20114 12.27.00 122668099/PM ( No NIA • NORTH SHORE VAPORS 300 HIGHLAND AVE Other Independent 01-25-20PM02:37:00 15566809999 No N/A F G COSGROVE 26 BRIDGE ST Other Independent 01-25-2014 12:43:00 122667730066 999) Yes No PM (ARGES LIQUOR 18 BOSTON ST Liquor Store Independent 01-25-20114 10:38:00 AM 1267306 Yes No YOUR NEIGHBORHOOD 103 SCHOOL ST Convenience Independent 01-25-201411:00:00 267306 yes No MARKET Store AM (15680999 QUICK PICK CONVENIENCE 207 NORTH ST Convenience Independent 01-25-201411:05:00 267306 Yes No Store AM (15680999) CITGO 105 NORTH ST Gas Mini-Mart Chain 01-25-2011411:24:00 (1226677300066AM 999) Yes No SPEEDWAY 90 NORTH ST Gas Mini-Mart Chain 01-25-2011411:30:00 122667730066AM 999) Yes No SALEM LIQUOR 128 NORTH ST Liquor Store Independent 01-25-20114 11:33:00 (122667300066 yes No 7-ELEVEN 126 NORTH ST Convenience Chain 01-25-201411:35:00 2606 Yes No Store AM 1568073999 BP 94 JACKSON ST Gas Mini-Mart Chain 01-25-2011411:55:00 (12266773306 Yes No SPEEDWAY 295 DERBY ST Gas Mini-Mart Chain 01-25-201412:01:00 122667733006PM 99 Yes No NEW MARKET 109 BRIDGE ST Grocery Store Independent 01-25-201412:33,00 PM 1267306 Yes No RICHDALE CONVENIENCE 31 BRIDGE ST Convenience Chain 01-25-201412:38:00 267306 Yes No STORE Store PM 15680999) Convenience 01-25-201412:48:00 267306 MOBIIL SAMS MARKET 94 BRIDGE ST Store Independent PM 15680999 Yes No BANI MARKET 70 HARBOR ST Grocery Store Independent 01-25-201^ 999)01:24:00 (1226677300066 Yes No TROPICANA MARKET 24 PALMER ST Grocery Store Independent 01-25-2014 01:55:00 12266800066 Yes No 3 N CONVENIENCE 35 PARADISE RD Convenience onv e i nce Independent 01-25-2014 02:34:00 PM 126677030066 999) Yes No PUMP N PANTRY 10 PARADISE RD Gas Mini-Mart Independent 01-25-2014 02:37:00 122667S030066PM Yes No KWIK SHOP OF SALEM 10 JEFFERSON AV Convenience Independent 05-15-2014 05:11:00 240917(1020839) Yes Yes PM WALYOS VARIETY 20 ESSEX ST Other Independent 05-15-2014 04.15.00 (11784304) Yes No BUNGHOLE LIQUORS 204 DERBY ST Liquor Store Independent 05-15-2014 04:58:00 240917(1020839) Yes No PM RED LION SMOKE SHOP 94 WASHINGTON ST Other Independent 05-15-2014 04:49:00 1127881155 yes No SHELL 111 NORTH ST Gas Mini-Mart Chain 05-15-2014 04:41:00 240917(1020839) Yes No PM SHELL 146 BOSTON ST Gas Mini-Mart Chain 05-15-2014 03.21.00 1178815 Yes No PM GLOBAL 200 CANAL ST Gas Mini-Mart Independent 05-19-20114 04:13:00PM 973314(2864923) Yes No • MY CONVENIENCE GROCERY 111-113 LAFAYETTE Convenience OS Independent -19-2 243430 4 yes No re PM 04:29:00 1 P178815 ST St.. LORING LIQUORS 70A LORING AV Liquor Store Independent 05-19-2014 04:15:00 PM 12438115 4304) Yes No WHITE DOVE MARKET 59 LORING AV Other Independent 05-19-2014 04:25:00 973314(2864923) Yes No PM A L PRIME ENERGY 175 LAFAYETTE ST Gas Mini-Mart Independent 05-19-2014 04:35:00 973314(2864923) Yes No PM CONGRESS MARKET 95 CONGRESS ST Grocery Store Independent 05-19-2014 04:37:00 (11784304) Yes No I PMMARCS MARKET 51 HARBOR ST Convenience Inde endent 05-19-2014 04:38:00 178815 Yes No Store p PM (12434304 NYFC FOOD MARKET 21 SALEM ST Convenience Independent 05-19-2014 04:45:00 178815 Yes No Store PM 1243435 ©Commonwealth of Massachusetts Site Policy Contact Us Help Site Map 1 f 1 Welcome Joyce Redford Change My Password I Edit my Profile Logout 12 MTCP Massachusetts Tobacco Control Program Home I Compliance Checks Inspections Pricing I Enforcement I Establishments I Administrative I Users Create New Survey I View/Edit Surveys Create Survey Using Route I Reports Chain Store Sales Report I Establishment Compliance Check History I Compliance Check Results by Municipality I Municipal compliance Check Data Summary Report Excel Spreadsheet of All Compliance Check data fields I Route Authorization Farm I Statewide Sales Summary Report I Enforcement Data Report I Liquor License Establishment Sales Report i Stores Where Under 27 Material is Displayed Compliance Check Results by Municipality Towns: Salem v From Date: 01-01-2015 To Date: 12-05-2015 Survey Type: ALL v Output Formats: Q CSV @ HTML O PDF Generate Report Survey Establishment Address Style Type Date Time Youth ID Completed Sale Types Made Compliance NORTH SHORE VAPORS 300 HIGHLAND AVE Other Independent 05-11-20115 05:24:00PM 973314(2864923) Yes Yes RICHDALES 84 HIGHLAND AVE Convenience Chain 05-11-20115 5:05:00 973314(2864923) Yes No Convenience 05-11-201505:15:00 178815 . PM NICOLES MINI FOOD STORE 406 ESSEX ST Store Independent PM 12434304 Yes No RICHDALES 84 HIGHLAND AVE Convei nce Chain 05-11-20115 5:05:00Store PM 973314(2864923) Yes No CIRCLE K 323 HIGHLAND ST Gas Mini-Mart Chain 05-11-20115 04:44:00 973314(2864923) Yes No PM MARKET BASKET 227 HIGHLAND AV Supermarket Chain 05-11-2015 04:57:00 1178815 Yes No SUNOCO 145 CANAL ST Gas Mini-Mart Chain 05-13-2011512:55:00 (12788115 Yes Yes GLOBAL 200 CANAL ST Gas Mini-Mart Independent 05-13-20115 12:25.00 1178815PM Yes Yes 3 N CONVENIENCE 35 PARADISE RD Convenience Independent 05-13-201512:04:00 178815 Yes No Store p PM 12434304 PUMP N PANTRY 10 PARADISE RD Gas Mini-Mart Independent 05-13-2011512:08:00 178815 PM 1 4) Yes No Convenience 05-13-201512:13:00 178815 TEDESCHI 72 LORING AVE Store Chain PM 12434304 Yes No LORING LIQUORS 70A LORING AV Liquor Store Independent 05-13-20115 12:17:00 PM (11788154) Yes No WHITE DOVE MARKET 59 LORING AV Other Independent OS-13-20PM12.22.00 12434304) Yes No SALEM LIQUOR 125 CANAL ST Liquor Store Independent OS-13-20PM12:43:C0 12434304 Yes No FAMILY DOLLAR 138 CANAL ST Department Store Chain 05-13-201512:45:00 (11788154 Yes No Convenience 05-13-2015 01:16:00 178815 MARCS MARKET 51 HARBOR ST Store Independent PM 12434304 Yes No NYFC FOOD MARKET 21 SALEM ST Convenience Independent 05-13-2015 01:19:00 178815 Yes No Store PM (12434304) CONGRESS MARKET 95 CONGRESS ST Grocery Store Independent 05-13-2015N 1 01:23:00 1788154 Yes No A L PRIME ENERGY 175 LAFAYETTE ST Gas Mini-Mart Independent 05-13-2015N01:29:00 (11784304) Yes No SUNNY CORNER 335 LAFAYETTE ST Convenience 05-13-2015 01:32:00 178815 Store Independent PM 12434304) Yes No FRIENDLY MINI MARK 235 LAFAYETTE ST Convenience Independent 05-13-2015 01:38:00 178815 Yes No Store PM 12434304 SPEEDWAY 295 DERBY ST Gas Mini-Mart Chain 05-13-20115 1:45:00 178815 PM 1 4 Yes No BUNGHOLE LIQUORS 204 DERBY ST Liquor Store Independent 05-13-2015 01:50:00 11788155PM Yes No 7 ELEVEN 28 NORMAN ST Convenience Chain 05-13-2015 02:12.00 178815 Yes No Store PM (12434304) BUNGHOLE LIQUORS 204 DERBY ST Liquor Store Independent 06-02-20PM04:37:00 973314(2864923) Yes Yes NICOLES MINI FOOD STORE 45 ESSEX ST Conveonience re Independent 06-03-2015 05:11:00 PM 973314(2864923) Yes Yes 7 ELEVEN 28 NORMAN ST Convenience Chain 07-27-2015 11:28:00 920322 Yes Yes Store AM (14333004) • BANI MARKET 70 HARBOR ST Grocery Store Independent 07-27-2015 14333004 Yes Yes VAPOR OUTLET 103 LAFAYETTE ST Other Independent 07-27-2015 01:14:00 920322 Yes Yes 1 PM (14333004) FAMILY DOLLAR 138 CANAL ST Department Store Chain 07-28-201510:18:00 973314(2864923) Yes No SHAWS SUPERMARKET 11 TRADERS WAY Supermarket Chain 523719(2582676) Yes No 07-27-201510:24:00 AM CIRCLE K 323 HIGHLAND ST Gas Mini-Mart Chain 07-27-201510.14:00 1920322AM Yes No 201510:30:00 27- 4333 BUSA WINE AND SPIRITS 21 TRADERS WAY Liquor Store Independent 07- AM (1920300004) Yes No MARKET BASKET 227 HIGHLAND AV Supermarket Chain 07-27-20115 10:34:00 523719(2582676) Yes No AM RICHDALES 84 HIGHLAND AVE Convenience Chain 07-27-20115 10:40:00 AM 523719(2582676) Yes No BP 94 JACKSON ST Gas Mini-Mart Chain 07-27-20115 10:45:00 523719(2582676) Yes No AM NICOLES MINI FOOD STORE 406 ESSEX ST Convenience Inde endent 07-27-2015 10:50:00 920322 Yes No Store P AM (14333004) ARGES LIQUOR 18 BOSTON ST Liquor Store Independent 07-27-20115 10:54:00AM 523719(2582676) Yes No LA LOMA MARKET 34 BOSTON ST Convenience Independent 07-27-2015 10:54:00 920322 Yes No Store AM 14333004 SHELL 146 BOSTON ST Gas Mini-Mart Chain 07-27-20115 10:58:00 (19203004) Yes No YOUR NEIGHBORHOOD 103 SCHOOL ST Convenience Independent 07-27-2015 11:06:00 523719(2582676) Yes No MARKET Store AM QUICK PICK CONVENIENCE 207 NORTH ST Convenience Inde endent 07-27-2015 11:11:00 920322 Yes No Store P AM (14333004) SALEM LIQUOR 128 NORTH ST Liquor Store Independent 07-27-2011511:17:00AM 523719(2582676) Yes No SHELL 111 NORTH ST Gas Mini-Mart Chain 07-27-20115 11:16:00 1922033222AM 3004) Yes No SALEM 7 126 NORTH ST Convenience Independent 07-27-201511:20:00 920322 Yes No Store AM (14333004) QUALITY LIQUORS 5 GEDNEY ST Other Independent 07-27-20115 11:55:00 523719(2582676) Yes No KWIK SHOP OF SALEM 10 JEFFERSON AV Convenience Independent 07-27-201512:00:00 920322 Yes No Store AM (14333004) BUNGHOLE LIQUORS 204 DERBY ST Liquor Store Independent 07-27-2015 12:13:00 1920322AM Yes No ZIGGY AND SONS DONUTS 2 ESSEX ST Restaurant Independent 07-27-2011512:17:00 1920322 Yes No AM WALYOS VARIETY 20 ESSEX ST Other Independent 07-27-2011512:17:00AM 523719(2582676) Yes No RICHDALE CONVENIENCE Convenience 07-27-2015 12:27:00 STORE 31 BRIDGE ST Store Chain PM 523719(2582676) Yes No F G COSGROVE 26 BRIDGE ST Other Independent 07-27-20115 12:37:00PM 523719(2582676) Yes No MOBIIL SAMS MARKET 94 BRIDGE ST ConStorence Independent 07-27-20115 12:40:00 523719(2582676) Yes No PM TROPICANA MARKET 24 PALMER ST Grocery Store Independent 07-27-201PM ^01:07:00 523719(2582676) Yes No MARCS MARKET 51 HARBOR ST Convenience Independent 07-27-2011512:54:00 523719(2582676) Yes No PM FRIENDLY MINI MARK 235 LAFAYETTE ST Convenience Independent 07-27-201P�01:45:00 523719(2582676) Yes No NYFC FOOD MARKET 21 SALEM ST Convenience Independent 07-27-201P^01:03:00 523719(2582676) Yes No CONGRESS MARKET 95 CONGRESS ST Grocery Store Independent 07-27-20115 01:12:00 523719(2582676) Yes No PM A L PRIME ENERGY 175 LAFAYETTE ST Gas Mini-Mart Independent 07-27-201PM ^01:16:00 19203224333 Yes No MY CONVENIENCE GROCERY 111-113 LSATFAYETTE ConStorence Independent 07-27-20115 01:14:00 PM 523719(2582676) Yes No SUNNY CORNER 335 LAFAYETTE ST Convenience Independent 07-27-2015 1:39:00 1920322 Yes No WHITE DOVE MARKET 59 LORING AV Other Independent 07-27-20PM01:39:00 (14333004) Yes No PUMP N PANTRY 10 PARADISE RD Gas Mini-Mart Independent 07-27-201P^01:50:00 920322 Yes No 3 N CONVENIENCE 35 PARADISE RD Convenience Independent 07-27-20115 001:50:00 PM 523719(2582676) Yes No STEVES QUALITY MARKET 38 MARGIN ST Convenience Independent 07-28-2011510:15:00 AM 973314(2864923) Yes No SUNOCO 145 CANAL ST Gas Mini-Mart Chain 07-28-20115 10:34:00 973314(2864923) Yes No AM GLOBAL 200 CANAL ST Gas Mini-Mart Independent 07-28-20115 10:39:00AM 973314(2864923) Yes No SALEM LIQUOR 125 CANAL ST Liquor Store Independent 07-28-20115 10:34:00 973314(2864923) Yes No AM TEDESCHI 72 LORING AVE Convenience Chain 07-28-201AM10:42:00 973314(2864923) Yes No LORING LIQUORS 70A LORING AV Liquor Store Independent 07-28-2011510:50:00 973314(2864923) Yes No AM LOS AMIGOS SUPERMARKET 122 LAFAYETTE ST Other Independent 07-28-2011510:58:00AM 973314(2864923) Yes No RED LION SMOKE SHOP 94 WASHINGTON ST Other Independent 07-28-2011511:05:00 973314(2864923) Yes No AM CITGO 105 NORTH ST Gas Mini-Mart Chain 07-28-20115 11:10:00 973314(2864923) Yes No AM SALEM LIQUOR 128 NORTH ST Liquor Store Independent 07-28-2011510:54:00 973314(2864923) Yes No AM SPEEDWAY 295 DERBY ST Gas Mini-Mart Chain 07-27-20115 12:10:00 523719(2582676) Yes No PM SPEEDWAY 90 NORTH ST Gas Mini-Mart Chain 07-27-20115 11:25:00AM 523719(2582676) Yes No NEW MARKET 109 BRIDGE ST Grocery Store Independent 07-27-20115 12:24.00 (19203004) No N/A WITCH OR 109 LAFAYETTE ST Other Independenti AM 07-28-20115 10:59*00 973314(2864923) No N/A ©Commonwealth of Massachusetts Site Policy Contact Us Help Site Map City of Salem Non-Union Employee Performance Evaluation Employee Name Review By Date Department Job Title Check One ❑ Scheduled Evaluation New Employee Promotion ❑ Other: Date of Hire Date of Last Review Date Employee Be an Present Position Date of Next Review Key to Ratings: 1: Major Strength -Consistently demonstrates high level of this behavior/skill. Is seen as role model/expert in this area by others. 2: Exceeds Expectations—Consistently demonstrates expected level of behavior/skill,sometimes demonstrating high level of it. 3: Meets Expectations-- Demonstrates expected level of behavior/skill in a predictable manner. 4: Developing- Demonstrates this behavior/skill to some extent, but is still working to develop it. 5: Development Needed—Needs to develop this behavior/skill; rarely or only occasionally demonstrates it,or requires guidance to do so. N/A: Not Applicable—Behavior/skill not applicable to currently employee role. (If N/A,do not circle a rating, and write "N/A" in comment area.) I.Job Knowledge: Employee demonstrates knowledge base and technical skills needed to perform the job of public health agent and directs activities of the Health Department. He/she sets priorities of work in accordance with the policy of Board of Health and the Massachusetts Department of Public Health, and adapts these to the local needs of the city of Salem. Overall Rating: 1 2 3 4 5 Comments: II.Collaboration and Teamwork: Builds strong working relationships within and outside the Health Department and the Board of Health.Thinks about the impact of his/her decisions and involves stakeholders in decisions that will affect them. Provides collaborative assistance as needed to accomplish the mission of the Board of Health. Follows supervisory direction of the Board of Health and the Mayor of Salem. Overall Rating: 1 2 3 4 5 Comments: III.Quality of work: Communication skills, both verbal and written,are effective. Plans,directs and administers a variety of health related programs and evaluates their effectiveness related to the changing needs of the community. Work is thorough and accurate and completed in a timely manner. Provides written documentation of major Department programs to Board of Health at scheduled meetings, proactively communicating as required. Exhibits strong work ethic and maintains appropriate quality of work. Overall Rating: 1 2 3 4 5 Comments: IV.Leadership: Good common sense and respect for others is in the foundation of his/her decision making.Acts independently and takes initiative to improve the health programs in the community. Provides orientation and ongoing education to staff in the department and to BOH members. Plans and decisions made are transparent and within the mission of Massachusetts Public Health,applicable regulations, HIPAA guidelines,open meeting law,and sunshine ordinance. Presents a positive professional image of the Health Department to the public. Handles difficult encounters with ease. Overall Rating: 1 2 3 4 5 Comments: 0 V.Office Administration: Hiring and firing practices take into consideration candidate qualifications, diversity of staff and contractual requirements. Financial management is prudent, fair and within budget allotted by the City of Salem. Requests for budget exceptions are well documented and submitted appropriately to the Mayor of Salem. Overall Rating: 1 2 3 4 5 Comments: VI. Evaluation of Goals Set at Last Review: Provide a brief outline of goals established for the employee at the pervious review and indicate if the goal(s) was/were achieved during the review period. Use a 1-5,where 1=Complete Achievement,5= Failed to Make Any Progress Toward Goal. Overall Rating: 1 2 3 4 5 Goal 1 Description: Goal 1 Rating: 1 2 3 4 5 Goal 2 Description: Goal 2 Rating: 1 2 3 4 5 Etc. Comments: VII. Performance Goals Based on This Review: Describe goals to work toward for the period leading up to the next performance evaluation. Goals should work toward further developing employee strengths, strengthening employee weaknesses, and providing training to allow for continued employee growth. Goal 1: Goal 2: Etc. Comments: Supervisor's Signature Date Reviewing Official Date Employee's Comments: (attach additional sheets if necessary) I the undersigned have read and understood the entire employee performance evaluation,and have made comments,as deemed necessary,in the appropriate areas regarding any disagreement with the evaluation or have made clear any conditions that precipitated the evaluation rating.I reserve the right to contest any aspect of this review at a future date without prejudice. Employee's Signature Date ONDIrq. January 4, 2016 Dear Councillor: Council President Turiel has appointed the following Councillors to serve on the Committees designated below: 2016 STANDING COMMITT EES OF THE COUNCIL ADMINISTRATION AND FINANCE David W. Eppley, Chairman; Stephen Dibble, Thoma s H. Furey, Beth Gerard, Elaine Milo COMMUNITY AND ECONOMIC DEVELOPMENT • Elaine Milo, Chairman; David W. Eppley, Stephen Dibble, Heather Famico,Jerry L. Ryan GOVERNMENT SERVICES Heather Famico, Chairman; Beth Gerard, Robert K. McCarthy, Elaine Milo, Arthur C. Sargent III ORDINANCES,LICENSES AND LEGAL AFFAIRS Robert K. McCarthy Chairman; Heather Famico, Stephen P. Lovely, Jerry L. Ryan, Arthur C. Sargent III PUBLIC HEALTH,SAFETY AND ENVIRONMENT Beth Gerard, Chairman; David W. Eppley, Stephen Dibble, Thomas H. Furey, Stephen P. Lovely • 0Z&1,0/;J;Z&14 c./l//1��"AtZC�sefftS/ �,�OhDITggb ayy(7�ClJ�.il-Sp�,�IIfE' /�7lOINI7 / January 4, 2016 Dear Councillor: Council President McCarthy has appointed the following Councillors to serve as liaisons to the following: COUNCIL LIAISONS 2016 BOARD OF HEALTH BETH GERARD CONSERVATION COMMISSION ROBERT K. McCARTHY . COUNCIL ON AGING ELAINE MILO DISABILITIES COMMISSION STEPHEN DIBBLE HISTORIC COMMISSION HEATHER FAMICO LICENSING BOARD HEATHER FAMICO MARKET& TOURISM JOSH H. TURIEL PARKING BOARD ROBERT K. McCARTHY PARK& RECREATION COMMISSION ARTHUR C. SARGENT III PLANNING BOARD JERRY L. RYAN REDEVELOPMENT AUTHORITY THOMAS H. FUREY SALEMBEVERLY WATER BOARD STEPHEN P. LOVELY VETERAN'S COUNCIL DAVID W. EPPLEY •