Rinse aids and sanitizing rinse aids for various applications, including institutional machine sanitizing are disclosed. In particular, concentrated and use compositions, such as concentrated liquid rinse aid compositions, employing a synergistic combination of a quaternary ammonium compound and anionic surfactant are disclosed. In particular, the present invention provides compositions and methods of a sanitizing rinse providing desired antimicrobial efficacy against a broad spectrum of gram negative microbes, suitable foaming profiles, and beneficial applications of use of the same, including low temperature sanitizing rinse are provided.