INSPECTION REPORT Health Protection 234988

PREMISES NAME Domino's Pizza #10090		Tel: (604) 534-2277 Fax: (604) 534-9746
PREMISES ADDRESS 115 - 4061 200th St Langley, BC V3A 1K8		INSPECTION DATE June 16, 2016	TIME SPENT 0.25 hours
OPERATOR (Person in Charge) Xi (Rick) Wang		NEXT INSPECTION DATE 4 Months
INSPECTION TYPE Follow-Up
ACTION TAKEN		FOOD 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 = 0

Critical Hazards: There are no critical hazards.

Non-Critical Hazards: There are no non-critical hazards.

Follow Up to "Critical" Violations Noted on Previous Inspections (if applicable): No corrections entered

Comments

- Sanitizer dispenser is equipped with back flow prevention. Devise as per chemical service rep comments. - Sanitizer solution tester and observed at 200 ppm Quats - Test routinely and record results - Food Safety Plan records to be available for review.