32 Complaint 2012 BOARD OF HEALTH
CITY HALL
COMPLAINT RECORD
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Date: 1707z0 i2
Time: I GEO:
Type:
Name of Complainant: CL \R CIA\cQ\C& \ N\
Address:
Tel: 4\3
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c NATURE OF COMPLAINT:
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Location:
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Owner: 0(04/4. OCC
Address:
Tel:
Taken by:
I Date of Inspection:
Time:
INSPECTOR'S REPORT:
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22'15—
171,11„>elrr•}T «.,.e,.If.®I
Total#of Inspections: Orders Issued?:
Date of Final Inspection: Notice of Compliance?:
0
Inspector Signature