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18D-040 COMPLAINT (2) DIVISION OF REGISTRATION OFFICE OF INVESTIGATIONS /ID -- �' 617-727-7406 ,1-7/ 0 \`u =' Please complete this complaint form as fully as possible.___ This form must be printed in ink and be legible. COMPLAINT ISSUED BY: Name: /2 Azc.SK% Ch/hRIAS Last Name First Name M.I. Address: 02/4 /1 M/A)ST ROD/!? /Db 41/3-S87/027/ Number Street Daytime Phone /vORTh'/vpTo/V /MI eiobe City State Zip Code Evening Phone ? vn$IItA -#679S .Z,cts EeZe/i'y 0/44;61Y4m,4iw Are ct Business Name, Business Address Professional License# (if applicable) COMPLAINT ISSUED AGAINST: Name: Eai.DvG RO.BART Last Name First Name M.I. Address: COS -,SI �1' y/3-7,ZG_P_ Number Street Daytime Phone SPRIN(rPE_449 ir7A o//oy City State Zip Code License Number Name: /Q/1)Lr Business Name � ,,,�,.. Address: S9M; —_ 5?///�!s Number Street Daytime Phone Shoff S,9mg City State Zip Code Professional License# Please check the trade or profession that this complaint pertains to: Accountant Psychologist Aesthetician Hairdresser Architect Health Officer Athletic Trainer Landscape Architect Audiologist/Speech Pathologist Land Surveyor Barber Manicurist Chiropractor Mental Health Counselor Complaint Against School Marriage&Family Therapist Dental Hygienist Nurse Dentist Nursing Home Administrator C, Drinking Water Plant Operator Occupational Therapist x Electrician(wiR'A/f J Occupational Therapist Assistant Electrologists Optician Engineer Optometrist Fire& Burglar Alarm Physician's Assistant Funeral Director Real Estate Appraiser Pharmacist/Pharmacy Real Estate Broker/Salesperson Physical Therapist Rehabilitation Counselor Physical Therapist Assistant Respiratory Care Plumber/Gas Fitter (P/Pm 4"2) Sanitarian Podiatrist Social Worker Radio or Television Technician Veterinarian -Continued on other side- Please check the reason for the complaint: Breach of contract Misrepresentation Discrimination Patient neglect Drug or alcohol abuse Sexual misconduct Unprofessional or unethical conduct Unable to obtain records Failure to fill prescription properly < Unlicensed Failure to return a deposit )4 Unsanitary Conditions X Inferior work or materials X Other: yB a.'DVCB) Description of the Complaint: REi9S YEA- ,g 77;4071.40 S EA Z2.oiiJ S3/Oi Briefly describe the incidents that led to your complaint and note the times and dates that events occurred. List the names of all individuals involved. _40,11,a L ;'GO/0/ :— ,ode/de-.D j ' ', ?az —_CAms»/,s szoitiF'� A� _0N �Ti/// --=f •� e" Attach additional information needed to explain the details of your complaint. Send copies,not the original, of any related documents. You will be sent an acknowledgement letter with the name of the investigator assigned to your case. AUTHORIZATION FOR RELEASE OF RECORDS AND REFERRAL OF COMPLAINT Your signature to this form,or a photocopy thereof,authorizes the Division of Registration to: (1)receive copies of all medical,dental and mental health records relating to your complaint,(2)refer your complaint to appropriate law enforcement authorities to investigate or prosecute your complaint,and(3)conduct a preliminary investigation. Please note that all complaints are investigated to determine their factual basis. The act of filing a complaint does not assure or imply that disciplinary action will necessarily be taken against the licensee. The above information is true,correct and complete to the best of my knowledge. CZ/41 /441Z fet 000/ Your signatur Date Mail this form to: Office of Investigations, Division of Registration 239 Causeway Street, Suite 400 Boston, MA 02114 .;, f o M pi, �./ ae tt Aoy #4 :A t Clit of North ampton �� * 4; �Tllsssaci1usrtts 42�' '� DEPARTMENT OF BUILDING INSPECTIONS .44 =?i i INSPECTOR 212 Main Street • Municipal Building -.4— Northampton, MA 01060 um so. BOARD OF STATE EXAMINERS OF PLUMBERS & GASFITTERS 2/13/01 MR. SECRETARY; LOUIS VISCO; OFFICE OF INVESTIGATIONS; On 2/12/01 during routine inspections I observed two men carrying a water heater into a building located on the corner of King Street and Damon Road Northampton Mass. The Building is owned by Pride. I entered the premise to investigate and found two men in the process of removing a water heater and installing a used replacement water heater. I showed proper identification and asked to see their plumbing licenses, both men were pleasant and admitted they did not have plumbing licenses. I explained the dangers of improper water heater installations and suggested they call their employer stating that they had been informed this installation would require a licensed plumber and permits would be needed before continuing with the installation. I asked these men why they were doing this type of work knowing it required a plumbing license. The men explained, they were instructed by their supervisor Bob Bolduc to pick up the used water heater at their warehouse and to install it. The men were able to make phone contact with Bob Bolduc, they stated to me after speaking with him that he would contact a licensed plumber to install a new water heater right away. I red tagged the leaking heater and the used heater. The pride employees left the premise without hot water because they had also disconnected the wiring to the leaking existing one. On 2/13/01 I did a follow up inspection at approximately 12: noon, nothing had - changed from the day before. I called the inspectors office and asked our secretary Dot to phone Bob Bolduc expressing the need for the permit and water heater installation. Dot was asked why the old one just couldn't be reconnected. I had explained the dangers the previous day pertaining to the installation and operations of faulty water heaters and their controls. The only option was to hire a licensed plumber, take out a permit, remove the faulty leaking water heater, remove the used water heater, install a new water heater and call for an inspection. On 2/13/01 at approximately 2:30 I phoned Bob Bolduc at his Springfield office. I asked him what the hold up was pertaining to the new water heater installation. He stated a licensed plumber would be at our office tomorrow to take out the permit and install a new water heater. I asked Bob Bolduc if it was his practice to send maintenance people out to do plumbing and install water heaters. Bob Bolduc stated; "Normally this sort of installation is of no issue". I asked him what he meant by this statement, he stated rather "flip" he was in a meeting and stated a curt goodbye. I have filled out the complaint form, attached to this document and am now requesting an investigation into this matter. cc. Building Comm. /Anthony Patillo Respectfully ubmitt d; C s J. Mazeski Plumbing& Gas Inspector Northampton