__________________________________________________________________________________________________________

                                    PERFORMANCE REQUIREMENTS SUMMARY
__________________________________________________________________________________________________________
              |           |                      |  MAXIMUM ALLOWABLE   |              | PROPORTION OF
   REQUIRED   | PARAGRAPH |       STANDARD       | DEGREE OF DEVIATION  |  METHOD OF   | REQUIRED SERVICE
   SERVICE    |  NUMBER   |                      | FROM REQMT. (AQL)    | SURVEILLANCE | TO TOTAL CONTRACT
______________|___________|______________________|______________________|______________|_____PRICE________
              |           |                      |                      |              |
 d. Liquid    | C.5.2.3   |Accomplish per        | 10% Lot is number of |   Random     |     $______
chillers and  |           |procedure IAW schedule| requests per month.  |  Sampling    |
compressors.  |           |and Section C.        | All defects cured    |              |
              |           |                      | within ______.       |              |
              |           |                      |                      |              |
 e. Evapora-  | C.5.2.4   |Accomplish per        | 10% Lot is number of |   Random     |     $______
tive coils,   |           |procedure IAW schedule| requests per month.  |  Sampling    |
chilled water |           |and Section C.        | All defects cured    |              |
coils, and    |           |                      | within ______.       |              |
coolers.      |           |                      |                      |              |
              |           |                      |                      |              |
 f. Air-cooled| C.5.2.5   |Accomplish per        | 10% Lot is number of |   Random     |     $______
condensers.   |           |procedure IAW schedule| requests per month.  |  Sampling    |  
              |           |and Section C.        | All defects cured    |              |
              |           |                      | within ______.       |              |
              |           |                      |                      |              | 
 g. Evapora-  | C.5.2.6   |Accomplish per        | 10% Lot is number of |   Random     |     $______
tive con-     |           |procedure IAW schedule| requests per month.  |  Sampling    |
densers.      |           |and Section C.        | All defects cured    |              |
              |           |                      | within ______.       |              |  
              |           |                      |                      |              |
 h. Evapora-  | C.5.2.8   |Accomplish per        | 10% Lot is number of |   Random     |     $______
tive air      |           |procedure IAW schedule| requests per month.  |  Sampling    | 
coolers.      |           |and Section C.        | All defects cured    |              |
              |           |                      | within ______.       |              |
              |           |                      |                      |              |              
 i.           | C.5.2.9   |Accomplish per        | 10% Lot is number of |   Random     |     $______
Ventilating   |           |procedure IAW schedule| requests per month.  |  Sampling    |
              |           |and Section C.        | All defects cured    |              |
              |           |                      | within ______.       |              |
              |           |                      |                      |              |
              |           |                      |                      |              |
              |           |                      |                      |              |    
______________|___________|______________________|______________________|______________|__________________

     Reference, DA Pamphlet 715-15 Form 5473-R













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