Fraser Health Authority



INSPECTION REPORT
Health Protection
NMAR-CX4PQT
PREMISES NAME
Domino's Pizza #10023
Tel: (604) 882 7445
Fax: (604) 882 7469
PREMISES ADDRESS
170 - 20330 88th Ave
Langley, BC V1M 2Y4
INSPECTION DATE
October 30, 2023
TIME SPENT
0.75 hours
OPERATOR (Person in Charge)
Gary Josefczyk
NEXT INSPECTION DATE
6 Months
INSPECTION TYPE
Routine
ACTION TAKENFOOD SAFETY & SANITATION
ADMINISTRATIVE
Information Provided
ENFORCEMENT
Require Corrections
Comply
In Use
Food Safety Training [s. 10]
Yes
Food Safety Plan [s. 23]
Yes
Yes
Sanitation Plan [s. 24]
Yes
Yes
HAZARD RATING FOR YOUR FACILITY: Low (≤15) Total Score = 5
Critical Hazards: Total Number: 1
302 - Equipment/utensils/food contact surfaces not properly washed and sanitized [s. 17(2)]
Observation (CORRECTED DURING INSPECTION): Sanitizer concentration below 200 ppm. Sanitizer dispenser concentrate supply line full of air.
Corrective Action(s): Sanitizer concentrate supply line fully inserted in to container.
Solutions replaced tested at 200 ppm Quats.
Test solution routinely.
Violation Score: 5

Non-Critical Hazards: There are no non-critical hazards.
Follow Up to "Critical" Violations Noted on Previous Inspections (if applicable): No corrections entered
Comments

Walk-in cooler below 4 Celsius.
Toppings cooler below 4 Celsius.
Hand washing station supplied with liquid soap and paper towels.
Equipment maintained.
Surfaces maintained.
Staff washroom maintained, liquid soap and paper towels available.
Staff person in charge has valid food safety training.