vision referral letter - defiance county...
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Dishwasher Temperature/ Sanitizer Concentration Log
This log can be used for mechanical dishwashers or manual three compartment sinks. Mechanical dishwashers must have a final rinse temperature of 165°F or above for stationary racks and 180°F or above for all other machines. Sanitizer concentration for chlorine must be a minimum of 50 ppm and for quaternary ammonium must be a minimum of 200 ppm.
Date Time
Person Measuring Temperature/
Sanitizer (Initials)Mechanical Dishwasher Final Rinse Temperature
Sanitizer Concentration
(ppm)
Revised: 9/25/2014
An Equal Opportunity Employer and Provider of Services
Defiance County General Health District1300 East Second Street, Suite 100, Defiance, Ohio 43512
Phone 419-784-3818 Fax 419-782-4979www.defiancecohealth.org