Swampscott Road and First Street Trash Complaint 7-10-2017 a
CITY OF SALEM, MASSACHUSETTS
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 LRAMDIN SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: ` Time: ' ; y Received By:
Complaint Number: 1731
Complainant
Address: r Phone:
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Investigated By: Date: i
Property Owner/Occupant Name Telephone#:
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