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Geo Tracking #: Entered By: 7.
Date Entered: It
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BODYART FOOD _ FOOD ILLNESS HOUSING
NUISANCE ODOR PESTS
SMOKE WATER/SEWER HOARDING
POOLS
NAIL SALONS
SEPTIC
OTHER
COMPLAINTANT'S INFORMATION:
Call Taker Initials: R(`
Date of Complaipt: 0 00 /140
Complainant's Name: t-1 VU:1A e Lt pw t Telephone # 61(3)717- .ZD
Occupant's Name: Telephone# ( ) -
Complaint Location: I CO ) . Ifl&aU 1St FL6xi
Animals: Y/N Child Under 6: Y/N
NATURE OF
COMPLAINT:
OWNER'S INFOR ATION/ g � /1A/;€
Owner's Name:
Property Mgr./
Land Lord:
Inspection
Scheduled on:
Complaint
Unfounded:
Conditions
Found:
Address:
Address:
Telephone# ( ) -
Alternate# ( ) -
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ACTION TAKEN: X75) 7 7 %�c�+D" -
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Signature of Inspecting Officer
L,
Date/Time of Inspection
4/6/16
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