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2. Instructions
   Use this form to request water-related records pertaining to Fremont, Newark, or Union City. Please read the following instructions prior to completing the form.
   
   1. Provide contact information and describe the records as specifically as possible. You will be contacted once the records are assembled.
   
   2. For duplication requests, you will be notified of an estimated amount due. Copies will be made upon receipt of payment. If more than 25 copies are made, you will be charged 10 cents/page (15 cents for larger than 11x17) and 75 cents per CD. Each certification is $1. Postage will be charged if applicable. For data compilation, extraction, or programming needed to produce records, there will be a $50/hour charge for all time expended in excess of 15 minutes.
   
   3. You will be notified within 10 days of the status of your request. You will then have 10 days to inspect the records. Requests expire 20 days from the date of request. For additional questions, please call (510) 668-4202.
6. Your Contact Info:
8. First Name*
9. Last Name*
11. Organization (if any)
13. Address1*
15. City*
16. State*
17. Zip*
19. Daytime Phone #*
20. Fax #
22. Email Address
26. Records Request Information
    We are only able to fulfill requests for water-related information pertaining to Fremont, Newark, or Union City, California.
28. I am interested in the following records:
30. I would like the above records...

    1. Copied (someone will provide you with an estimated cost; payment must be received prior to copying)
    2. In Electronic Format (someone will contact you regarding the format)
    3. Assembled for Inspection (someone will contact you to schedule an appointment)
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field