20 LEACH STREET - STREET FILE CITY OF SALEM, MASSACHUSETTS
0 BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4"FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINfil'SALEM.COM
HEALTH AGENT
r COMPLAINT INTAKE FORM
Date: I 1v ( Time: r Received By:
Complaint Number: 0903
Complainant
Address: Phone: 1�
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jtaY� )r
Investigated By: Date:
Property Owner/Occupant Name Telephone#:
s F.
CITY OF SALEM, MASSACHUSE'TTS 10
BOARD OF HF—uTH
120 W ASHINGTON STREET 4`'FLOOR PlablicHealth
f Prevent-Promnte.Protect.
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL hamclin@salem.coin
L.\RRY R,1MDIN,RS/RI?FIS,CI 10,Cl'-FS
MAYOR HLA xi j Au...NT
July 30,2014
18 Leach Street Realty Trust
Kelly Barr,Trustee
64 Deacon Haynes Road
Concord, MA 01742
VIA CERTIFIED MAIL: 70121640 0002 3313 0157
Dear Sir/Madam:
In accordance with Chapter III,Sections 127A and 127E of the Massachusetts General Laws, 105 CMR
400.00;State Sanitary Code,Chapter 1: General Administrative Procedures and 105 CMR 410.00:State
Sanitary Code,Chapter 11: Minimum Standards of Fitness for Human Habitation, an inspection was
conducted of the property 20 Leach Street#1,permitted by occupant Amanda Belotte,conducted by
David Greenbaum,Senior Sanitarian and Elizabeth Gagakis,Sanitarian on July 22 2014 @ 3:00 p.m.
Notice:if this rental unit is occupied by a child or children under the age of 6 years, it is the property owner's
responsibility to notify tenants of lead related reports and tests,and to ensure that this unit complies fully
with 105 CMR 460:000: Regulations for Lead Poisoning Prevention and Control. For further information or
to request an inspection, contact the Salem Board of Health at 978-741-1800.
You are hereby ORDERED to make a good-faith effort to correct the violations listed on the enclosed
inspection report and to take all positive action to prevent these violations from occurring again in the future.
Failure on your part to comply within the time specified on the enclosed inspection report will result in a
complaint being sought against you in Trial Court. Time for compliance begins with receipt of this Order.
Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health.
A request for said hearing must be received in writing in the office of the Board of Health within 7 days of
receipt of this Order. At said hearing,you will be given an opportunity to be heard and to present witness
and documentary evidence as to why this Order should be modified or withdrawn.You may be represented
by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant
inspection in investigation reports,orders and other documentary information in the possession of this
Board,and that any adverse party has the right to be present at the hearing.
Please be advised that the conditions noted may enable the occupant(s)to use one or more of the statutory
remedies available to them as outlined in the enclosed inspection report form.
For the Board of Health Reply to:
Larry Ramdin Elizabeth Gagakis
Health Agent Sanitarian
cc: Tenant
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