17 Turner Street Complaint 4-10-2019 ORW '
I,=n � CITY OF SALEM, MASSACHUSETTS
", BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,41"FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINCd:SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: qj 1 i Time: �P M _ Received By:,—
Complaint Number: 2402
Complainant OJ- 6UOL Ll as GHQ,
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