Form TECH408A "Power Usage Effectiveness Report (Air Cooled)" - California

What Is Form TECH408A?

This is a legal form that was released by the California Department of Technology - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2015;
  • The latest edition provided by the California Department of Technology;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form TECH408A by clicking the link below or browse more documents and templates provided by the California Department of Technology.

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Download Form TECH408A "Power Usage Effectiveness Report (Air Cooled)" - California

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STATE OF CALIFORNIA
FOR CDT USE ONLY
CALIFORNIA DEPARTMENT OF TECHNOLOGY
POWER USAGE EFFECTIVENESS REPORT (Air Cooled)
TECH 408A (REV. 12/2015)
Use this form to report Power Usage Effectiveness (PUE) for all state data centers over 1000 square feet.
State Entity Information
State Entity refers to any entity within the Executive Branch that is under the direct authority of the Governor including, but not
limited to, all agencies, departments, boards, bureaus, commissions, councils, institutions and offices.
State Entity Name:
Contact Name:
Contact Telephone Number:
Contact Email Address:
Data Center/Computer Room Address:
Average UPS Input (measured in kW):
Average UPS Output (measured in kW):
Average Computer Room Air Conditioner Input
(measured in kW):
Average Computer Room Air Conditioner Condenser
Input (measured in kW):
Other Computer Room Input (lighting, plug, etc.):
Power Usage Effectiveness (PUE) Calculated by Form:
Explain exceptions or estimation methods if the exact UPS output or computer room inputs were estimated:
Explain efforts completed in the past fiscal year that improved PUE:
Explain energy efficient efforts planned which will improve PUE when implemented:
By submitting this document the CIO confirms that the state entity accurately measured, and is
correctly reporting the Power Usage Effectiveness of their data center.
Date
Printed Name of CIO
Print
Clear
Save Form
STATE OF CALIFORNIA
FOR CDT USE ONLY
CALIFORNIA DEPARTMENT OF TECHNOLOGY
POWER USAGE EFFECTIVENESS REPORT (Air Cooled)
TECH 408A (REV. 12/2015)
Use this form to report Power Usage Effectiveness (PUE) for all state data centers over 1000 square feet.
State Entity Information
State Entity refers to any entity within the Executive Branch that is under the direct authority of the Governor including, but not
limited to, all agencies, departments, boards, bureaus, commissions, councils, institutions and offices.
State Entity Name:
Contact Name:
Contact Telephone Number:
Contact Email Address:
Data Center/Computer Room Address:
Average UPS Input (measured in kW):
Average UPS Output (measured in kW):
Average Computer Room Air Conditioner Input
(measured in kW):
Average Computer Room Air Conditioner Condenser
Input (measured in kW):
Other Computer Room Input (lighting, plug, etc.):
Power Usage Effectiveness (PUE) Calculated by Form:
Explain exceptions or estimation methods if the exact UPS output or computer room inputs were estimated:
Explain efforts completed in the past fiscal year that improved PUE:
Explain energy efficient efforts planned which will improve PUE when implemented:
By submitting this document the CIO confirms that the state entity accurately measured, and is
correctly reporting the Power Usage Effectiveness of their data center.
Date
Printed Name of CIO
Print
Clear
Save Form