31 Salem Street - Street File (49) C l-l- OF SALW4*-Mltr'TSltCHUSETTS
Bea O F NEA J-T H
o cMVV 14�l.TO.N S,T{tEgIr. 4TH FLOOR
b�SALE _MA Q t970
TEL, 9-7-8--74---U300-
Fkw 9-78:7A5--OI Rage-1-of
STANLEY USOVICZ. J" JOANNE SCOTT. MPH, R5. CHO
MAYOR HEALTH AGENT
StateSafl-ttary Cod--, Chapter W. 10-5 CMR 41-Q-00-a
U[irrirn nT Standard-a of Fft-n-es-s-for Human- �rr
Occupant: _ Pf�one O `
Address: - - -
Ownef: Address 141arden m
Inspection Date: Time:
Conducted By-—iN Accompanied By: L�
Anticipated-ReinspectiQn Dater
SpeMedTIMe Reg.#410..
Based_Gn_a_Wnant compWnLaainspeetion was,cgonducted in accordance
wa hhAtich- 11 of the State Senitary Code 105 CMR,410.000.
UpQre inspection the following were noted:
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One or more of the-abo%4--�iofatiQns may ecida�ger or tt)p impair the h hL1X D
safety ancLweltbeina of the occupant(s)
GRY OF SAL-F- A tifA4TIH OEPAFrTME T
Salem,Massachusetts 01970 PaW 5 / (�
Date.—
Address:
SPWiFed Time Reg-#410." Violation(s)
44 1 iliq&wx shall resells
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