264 Complaint Record 2016 C T 2ttlp
eo Tracking coo i> -/
#: Entered By: E e� I Date Entered: !z fill(e
4RT
NCE
E
FOOD FOOD ILLNESS HOUSING NAIL SALONS
ODOR PESTS POOLS SEPTIC
WATER/SEWER HOARDING OTHER
OMPLAINTANT'S INFORMATION: Call Taker Initials:
Date of Complaint: / /
i
inant/Occupant's Name: L iincl(. tL:l_
Address:
tint Location:
2E OF
LAINT:
Telephone#( )69/r,- C fl)
Alternate# ( ) -
1 Q Sc ,1
O Animals: Y/N Child Under 6: Y/N
;^a.s sinntout /G
R'S INFORMATION:
s Name: Address: Telephone #( )
y Mgr./LL: Address: Alternate# ( )
:ion Scheduled on: //y- ry v i 'V S — wT
tint Unfounded:
ons Found: )tO `'G-`f
)N TAKEN:
/ /ZS / itb6
ire of Inspecting Officer Date/Time of Inspection