Information
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Site
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Prepared By:
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Prepared By (not in list)
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Date and Time
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Location
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Probe Thermometer | Ice Point
Thermometer
Ice Point Recording | ºC
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This Thermometer is miscalibrated and must be replaced
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Prove It
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Probe Thermometer | Boiling Point
Thermometer
Boiling Point Recording | ºC
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This Thermometer is miscalibrated and must be replaced
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Prove It
Observations and Corrective Action
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What?
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Who?
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By When?
Sign Off
Sign Off
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Your Name & Signature
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Food Safety Supervisor Name & Signature