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HomeMy WebLinkAboutMiscellaneous - 36 RICHARDSON AVENUE 4/30/2018 (2)NORTH 41 �1S3AC HUSE� BOARD OF HEALTH 6e2 1 1' Ext. 32 or 33 0 Sell IC) 1 120 MAIN STREET NORTH ANDOVER, MASS. 01845 COMPLAINT FORM UUMPLAINANI : Cl 1 1X 11 pp ADDRESS: -3to � J -,c" sryY PHONE # .ok. - 1 `t t� COMPLAINT•( OWNER: ADDRESS: PHONE# a �� I Iii _ ��' j ► �. , 'FIiT.YRwl"t- ... ❑ Vr'LL fial- nff0`Eo- 15EE't011ANTS 6 CUAGEt7❑ a4AIw AMPAD NO. 23-176-400 SETS NO. 23-376-200 SETS IN - a,(, -Cie Na(,r,a �"�0caa c � N4%krc,, �bhc"tt•t�� J- SQ-COrL",be_�cswr�. °y� �cr cc.�r crw� C.l.!}�5t5 Vt.���1c5., S\ne wus bec�s- e� A -Nn -e --OA .. � -a� -`t O ah Iry ab� c�c ci:ah �u+hb CAw w'\ �� - Lovu:tM \vt the . ��_ p�lpletn, - -- ----- --vvq— �Cj` CA tch 5 �ots. i� -1votiC w o��► ar Ve�.v�,\es 4klac rev-6kcA ---- vu� Z tin Ti�e�e_�,vct e _ c,�o gtre-kkS cm �, &M\IN \AP , ows. U119V �- - �_'A� -4fimfl' - _ t�nre. oh\�,_.u:�.� .'��,,�'c._1,�.U� the SPats___ ire✓ _�`�-�,_a��s _ �r�,ca��-._ �� c�c�_o�----- • � � _e w a�� s�� wti.,s a'� lS@5- i3 � � _ qhs � �ti� �4��_ ���v�e�s � cst�'��.e c�b�t ^roM `tie.. 1w�e5`�� _��•e �3chw e��a�e. �� \�? -.:s \hib CAVeL* M��eS off_ .'��.e �ro ,-.�'`c�e�e -S<AW+e5_Wac---- -+c%km iron. W--%% %rG at vehjob y,S well ct 'kcoM A'Vl2 v„: \o�►5—cs�_t�e-bw�\�: (�ra��+,ec-.-�oc-a���� v�r�,5_ ch4c.ke�_ off, . fi��a��,.y ..� .New ���hd '�epc�u���-�,�_ �-A�aSc.• a`� - -- CTO S�.�oy. r �._�h�s �:��� i _gib 1oc�..�•e� ov._ `��,.�e.^\e�� t1 c�,�na b:a e oE- h.e. w -t,,,5 ' �►.wbrc, of _ �.e,,, �bleM �,+nZ c� �wr�bet- o� _Q�:��•e. ��e_cflt�P����•e��-o ---- rA Lot,,Pde -°t---�rtq' 9e.- p�cobL�r� h e4s, ctiro�v.� _ -r �.wh.� e, , keti_I�►ec,�_ A �C�b�,1tiS " 5Vno W,e t do �9� ` 4, A QS a s --!i _} w\` b,e. c.o�►. _# fin e_:. R- lbs-- -ti `�-e �v� �ov�. - ° -- - - • � �wwCC G,�O Su,� b�1¢, ' rQ-ce�ve� ,(�:'�t��\�G,r_ C.ot`n.�`a.`n'�L - Al `deb gY.c\ c r w<v�P�c��r��__.:w�`. �e,.:a�o�c�:.r �cotr. `�� e�hwv.:L C,% _ Sw�:�1,-es-w.�-� �a�ccr�. �o }�.e:_��h� t�►b�n_1-Q�: �,--�c_-c►�u �s- �c� S :�le;r �,,r�� __ _ WtALI�h.-=RC,y ON" cC.socc� —�c:orp:c,.. +�r��c,�l. �.�o,n\-�N�tS-t�,(.01�c�''�►fs�vQ.._ �T-`_wws . ho'�' c�'a� �o^r'. S�'�(h, .4��11'�-,0��(.e,� IN �� ��:-Pi 4��t'O•�� S�e,.0 - �� er � krcti5 aes'CtY4�� �r • �eXwe �--� �� e, h �s�`� �`�_.yv�sr`t' - _ a 'U: A\veve- 66t6m& *k S- •�klaa- w�. 5b- 5�-t�a X� --h�,d -_carp --- - - _0%�._'CCv: Uv- c;�� Inn �� � ; 15 ��Qec,,'c� -}o -�eQ cn, wcxYa tvzO lm f�� �,.� i'�b\ ten. • - - - : --- _ -- -- - -� — --- -- - - - - = - ---- �j(,\j--Ove 0 tao'S ls--C\I\�CILI-w'�__ U �� �-t5 Ql,_'��cxhe. caMQ�v.e� -a.$0 �a n�, g,0 -b\ bye_ \VIA• _\i� - _PAS. Sc t'ft\ oeS 4ttNv. er. T hrl \Ookkp,� Vvee fed 0 vjn __.r��\Vnc,�Cztho54,__�— V �e- �i,�a- - 5v�.a �,c,�,s---�c•,�-�t"5--�`tt)b\�env�_�v_����e._��e s�,,,�'�_�nra�.�� tti„ere, towc�c- - c%..,ci - ecAbk *wt cs5A\,ve— v - %L,�v�e,,,es r`%hA of 1MMIUU r,vre\tA \-,A fie --or_ �c p- sPc: S•---�� ,wo l _(7 ��Q-_P�,�k;_ics ,,�e� - - _IS��,_ �r�s_b�`�oce,—t�w�'�-- '�v�lle�--o�►J��}_ o�n.e. _cs�,�~ � w:�ti. a�,�� --_- of i`�;�row�,v� -Th,- lay f.,�a� - kph 4re�& fra�n Mv�,+► r��e�e� ,s,Q AO--- k�,_ PA_►�,bs --- Dr=- 5�'.�i{c -��'o•cr. �@ ii L�bS :r L,e}�ti��ov� ctvctil�..� }�►.e f�l�aw� �co�v Mv��. ov,- os�aa� `��- 4courc.��c�s�. \ecs Vic._ t�v ��t' x �c, •, �� s CAVA 6� �,co?e. 'e\Q>MSVI\Cv c.arn.QNA:o`\ C.ov�c eh��o� of c��y elevheh'�S, 5v��,r� cs�,`1a�h� YMe.��v�5, ---------- -- ---- S Poi �5. C�Wi'c�� ._ M�ec:c��. ha�C May. `�►p . `c55���`�- - ,:_ .� �•5== �5—�.5 •�c.,.`c' �S —�Q„_c c�,u� � � U _� Jnr ��k_'� eb� ;_ _ �,,,•(��e� .'�•Gb�s -- �,��",-�,e, ___ - wN� �Q�y��� G�?�3C4vc�.� _Cow. ToW.,l3,wr.o ot-- �,1� �`C�-�Lrn ev�� • , w Complaint No. MB/NE File No. COMPLAINT INVESTIGATION FORM Received on Time of Day. - L (a m p.m.) Date: Assigned jo Inspector Name: Date: est. � rn. Suspected Location: Source of Complaint Name: % Owner. ; 5 0T- Y? ^ ' Complainant Name: �1 TelephoneIf _- 17q,Y -/7 -3a7 7 Telephone: 72 i Address: j r , ` W � -' F < /L"--� c a av Eel Description f- ` -�me►.,�'� "::,s of Problem ioi erg o'4 421 c ,v Dom' S � ✓G !t) 7/9Results of violation Found? ❑ Yes ❑ No "A Investigation Was Complainant Notified? ❑ Yes ❑ N o��r Cite Regulations That Were Violated: Legal Name of Source of Violation (Corporations, Trusts, etc.): �yQQe V Exact Location of Violation Site: Street City or Town Zip Mailing Address: Street City or Town Zip Specifics: 19,�o � � _ 7a ��/ 71) Cge - e VISIBLE EMISSION OBSERVATION FORM SOURCEOBSERVER: ADDRESS: DATE: Observation Point: SUMMMMUMOM i'Stack: Distance From Height Wind: Speed Direction Sky Condition: Color of Emission: Ambient Temp. Dry Bulb __-F Wet Bulb Relative Humidity: "Observation Began? Ended? .. 'Certification Date:— • EMMMMMMMMM OMMMMMMMMM UMMMOMMMMM iummmmmmmmm UMMMMMMMMM UMMOMMOMMM oMMOM MMMMM m����m����■ MOMMMMMM M, MMMMMMMMMW MMMMM MMM MMMMMMMMOMMi MMMMMMMOMM MMMMMMMOM �MMMMMMMMMW