10 Complaint Record 8/13/15 Geo Tracking #:0C(C5," Entered By: .
Date Entered: � I IS
on:
COMPLAINT INFORMATION:
Complaint Location: \( C u \ J
Nature of Complaint:
Date of Complaint: /3 / \<
Animals: Y/N Id Under 6: Y/N
CNA n4 rt C cJ t o S
u.)l Kew (Y( ,.r
COMPLAINTANT'S INFORMATION:
Complainant/Occupant's Name:
Mailing Address:
INFORMATION:
Owner's Name:
Property Mgr./LL:
Complaint Unfounded:
Conditions Found:
Telephone#
Alternate#
).
Address: Telephone# ( )
Address: Alternate# ( ) -
ACTION
TAKEN:
\\L-yNciA Ac
)4a-m K,n n ee.
Signature of Inspecting Officer
/ /
Date/Time of Inspection
FOOD_
WATER/SEWER
HOUSIN
SEPTIC
HOARDING
PESTS
NUISANCE
ODOR_
_
SMOKE POOLS
NAIL SALONS
_
BODYART
OTHER
on:
COMPLAINT INFORMATION:
Complaint Location: \( C u \ J
Nature of Complaint:
Date of Complaint: /3 / \<
Animals: Y/N Id Under 6: Y/N
CNA n4 rt C cJ t o S
u.)l Kew (Y( ,.r
COMPLAINTANT'S INFORMATION:
Complainant/Occupant's Name:
Mailing Address:
INFORMATION:
Owner's Name:
Property Mgr./LL:
Complaint Unfounded:
Conditions Found:
Telephone#
Alternate#
).
Address: Telephone# ( )
Address: Alternate# ( ) -
ACTION
TAKEN:
\\L-yNciA Ac
)4a-m K,n n ee.
Signature of Inspecting Officer
/ /
Date/Time of Inspection