Sample Number	LOCATION	Description of surface	Surface area (cm2)	Date/time of sample collection	Clean (Y/N)	If cleaned, what disinfectant was used?	Detailed description of surface material and location
1	Room# 7-1302	Toilet Seat	700 cm2	6/26/2016; 9:00 am	No	not applicable	Toilet seat [top surfaces), and hard plastoc
2	Room #7-1330	Telephone handle	500 cm2	6/26/2016; 9:25 am	Yes	1,000 ppm bleach	Hard plastic, rubber button