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7 Complaint Geo Trac Entered By: (WS Date Entered:el Ilifire BODYART NUISANCE •SMOKE FOOD ODOR WATER/SEWER FOOD ILLNESS PESTS HOARDING HOUSING NAIL SALONS POOLS SEPTIC OTHER COMPLAINT/ANTIS INFORLIATION: Call Taker Initials: Date of Complaint: / (ti / 1(1 Complainant's Name: Occupant's Name Complaint Location: NATURE OF' COMPLAINT: Telephone ie (6 531 1961 Telephone#( ) cab_ DiAt OY Sidt, Wd. _ umals: YIN Child Under 6: Y/N OWNER'S INFORMATION: Owner's Name. Property Mgr./ Land Lord: Inspection Scheduled on: Complaint Unfounded: Conditions Found: Address: Address: Telephone,'-; ( ) Alternate n ( ) ACTION TAKEN: No M4iorl I"le'rS fief G 94s Signature of Inspecting Officer Date/Time of Inspection