Loring Towers #B77 Complaint 4-9-2019 a
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR
MAYOR TEL.(978)741-1800
FAX(978)745-0343
LARRY RAMDLN,RS/REHS,CHO,CP-FS LRAMDINCR}SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: �1� Time: ��/20c Received By:. r -
Complaint Number: 2401 _
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