INSPECTION REPORT Health Protection 246771

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 August 26, 2019	TIME SPENT 0.5 hours
OPERATOR (Person in Charge) Gary Josefczyk		NEXT INSPECTION DATE 2 Months
INSPECTION TYPE Routine
ACTION TAKEN		FOOD SAFETY & SANITATION
ADMINISTRATIVE Permit Issued	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 in spray bottle concentration excessive Corrective Action(s): New solution prepared using sanitizer dispense solution at 200ppm. Test solution using test strips 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

Change of Ownership Legal documents provided *Permit fee due $100 - Coolers at and below 4C - Hand washing maintained - Surfaces maintained - Washroom supplied with liquid soap and paper towel Premise Approved