__________________________________________________________________________________________________________

                                    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________
              |           |                      |                      |              |
0010AW Inspect| C.5.21    |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 Cascade-|           |                      | within ______.       |              |
type          |           |                      |                      |              |
refrigeration |           |                      |                      |              | 
equipment.    |           |                      |                      |              |
              |           |                      |                      |              |          
0010AX Inspect| C.5.22    |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 constant|           |                      | within ______.       |              |
temperature & |           |                      |                      |              |
humidity con- |           |                      |                      |              |
trol equipment|           |                      |                      |              |
              |           |                      |                      |              |
0010AY Inspect| C.5.23    |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 heat and|           |                      | within ______.       |              |
humidity con- |           |                      |                      |              |
trolled oven  |           |                      |                      |              |
equipment.    |           |                      |                      |              | 
              |           |                      |                      |              |
0010AZ Inspect| C.5.24    |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 cooling |           |                      | within ______.       |              |
tower         |           |                      |                      |              |
equipment.    |           |                      |                      |              |
              |           |                      |                      |              |              
              |           |                      |                      |              |
              |           |                      |                      |              |
______________|___________|______________________|______________________|______________|__________________

     Reference, DA Pamphlet 715-15 Form 5473-R













                           1