96 Complaint 2017 C1 20(?- cx221
Geo Tracking 4: Entered By: C . (-12
1 • Date Entered: 3/2 y/2a(
iEODYT FOOD FOOD ILLNESS HOUSLNG NAIL SALONS
NUISANCE ODOR PESTS POOLS SEPTIC
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SMOKE WATER/SER HOARDING OTHER . .
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COM. L _IFTANT'S 1FO1RM uION: Call Taker Initials: L R Q
Date of Complaint: / Z cf / ( `7
Complainant's Dame: L ;J t,(Ce_ 1u &'/S Tel hone# (413) D ---iS7)-
Occupant's Name: Telephone# ( ) -
Complaint Location: qt., ittm ?# L d .
Animals: YIN Child Under 6: Y,N
NATURE OF
COMPLAINT: S ±frtlAt ala V 6 4 .61)41J--
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OWNER'S
2—OAR'S NFORMATION:
Owner's Dame:
Address: Telephone # ( ) -
Property Mar.!
Land Lord: Address: Alternate 4 ( ) -
rnspection
Scheduled on: 5 e 2 L/ / 1 ( -
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Complain t N
Unfounded: 0(e n r °� t4- l 5 7 L` ems"` r
Conditons
Found:
ACTION WN: C 1 (mac;
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Signature of Inspecting $'' cer Date/Time of Inspection ''
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