__________________________________________________________________________________________________________

                                    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________
              |           |                      |                      |              |
0010AI Inspect| C.5.5     |Accomplish per        | 10% Lot is number of |   Random     |     $______
maintain, re- |           |procedure IAW schedule| requests per month.  |  Sampling    |
pair and re-  |           |and Section C.        | All defects cured    |              |
place air     |           |                      | within ______.       |              |
compressors   |           |                      |                      |              |
and air drying|           |                      |                      |              | 
equipment.    |           |                      |                      |              |
              |           |                      |                      |              |
0010AJ Inspect| C.5.6     |Accomplish per        | 10% Lot is number of |   Random     |     $______
maintain, re- |           |procedure IAW schedule| requests per month.  |  Sampling    |
pair and re-  |           |and Section C.        | All defects cured    |              |
place water   |           |                      | within ______.       |              |
coolers and   |           |                      |                      |              |
ice machine   |           |                      |                      |              |
equipment.    |           |                      |                      |              |
              |           |                      |                      |              |
0010AK Inspect| C.5.7     |Accomplish per        | 10% Lot is number of |   Random     |     $______
maintain, re- |           |procedure IAW schedule| requests per month.  |  Sampling    |  
pair and re-  |           |and Section C.        | All defects cured    |              |
place food    |           |                      | within ______.       |              |
service re-   |           |                      |                      |              |
frigeration   |           |                      |                      |              |
equipment.    |           |                      |                      |              |
              |           |                      |                      |              | 
0010AL Inspect| C.5.8     |Accomplish per        | 10% Lot is number of |   Random     |     $______
maintain, re- |           |procedure IAW schedule| requests per month.  |  Sampling    | 
pair and re-  |           |and Section C.        | All defects cured    |              |
place domestic|           |                      | within ______.       |              |
refrigeration |           |                      |                      |              |
equipment.    |           |                      |                      |              |
              |           |                      |                      |              |              
              |           |                      |                      |              |
              |           |                      |                      |              |
______________|___________|______________________|______________________|______________|__________________

     Reference, DA Pamphlet 715-15 Form 5473-R













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