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NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY:<br />

STATE BAR NUMBER<br />

Reserved <strong>for</strong> Clerk’s File Stamp<br />

ATTORNEY FOR (Name):<br />

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES<br />

COURTHOUSE ADDRESS:<br />

PLAINTIFF/PETITIONER:<br />

DEFENDANT/RESPONDENT:<br />

REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT,<br />

AND NOTICE OF ENTRY OF JUDGMENT –<br />

PUBLIC RESOURCES CODE SECTION 45014(c)<br />

AND ISSUANCE OF A WRIT OF EXECUTION AND/OR<br />

OTHER ENFORCEMENT<br />

CASE NUMBER:<br />

REQUEST FOR ENTRY OF JUDGMENT<br />

1. The Cali<strong>for</strong>nia Integrated Waste Management Board (Other) ____________________________________<br />

has complied with the provisions <strong>of</strong> the Public Resources Code section 45014(c).<br />

2. The 30 days to file a petition <strong>for</strong> a Writ <strong>of</strong> M<strong>and</strong>ate <strong>for</strong> review <strong>of</strong> the Decision or Order <strong>of</strong> the Hearing<br />

Officer/Administrative Law Judge has expired. The Decision or Order <strong>of</strong> the Hearing Officer/Administrative Law<br />

Judge is now final. (Pub. Resources Code, § 42854(a) <strong>and</strong> (b).)<br />

3. Unpaid penalties <strong>and</strong> fees have accrued in the sum <strong>of</strong> $ plus civil filing fee <strong>and</strong> administrative<br />

charge <strong>of</strong> $ _________________________plus interest after <strong>judgment</strong> at the legal rate.<br />

4. The clerk is <strong>request</strong>ed to enter <strong>judgment</strong> in favor <strong>of</strong> the Cali<strong>for</strong>nia Integrated Waste Management Board<br />

(Other) ____________________________________________________ against the above named defendant.<br />

I declare under penalty <strong>of</strong> perjury under the laws <strong>of</strong> the State <strong>of</strong> Cali<strong>for</strong>nia that the <strong>for</strong>egoing is true <strong>and</strong> correct.<br />

Dated:<br />

By:<br />

Attorney <strong>for</strong><br />

LACIV 087 (Rev. 0/) REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT, Pub. Resources Code, § 45014(c);<br />

LASC Approved 07-05 AND NOTICE OF ENTRY OF JUDGMENT – Gov. Code, § 6103.5(d)<br />

PUBLIC RESOURCES CODE SECTION 45014(c) Page 1 <strong>of</strong> 2


PLAINTIFF/PETITIONER (Name):<br />

CASE NUMBER<br />

DEFENDANT/RESPONDENT (Name):<br />

JUDGMENT AND NOTICE OF ENTRY OF JUDGMENT<br />

Judgment entered in favor <strong>of</strong> Cali<strong>for</strong>nia Integrated Waste Management Board (Other) _____________________<br />

_______________________________________ against the defendant, as follows:<br />

a. Principal..............................................................................................$<br />

b. Costs (including civil filing fee <strong>and</strong> administrative charge)..................$<br />

c. Total amount <strong>of</strong> <strong>judgment</strong>……………………………………………..…$_____________________________<br />

d. Plus interest after <strong>judgment</strong> at the legal rate.<br />

Judgment entered on<br />

recovery <strong>of</strong> <strong>judgment</strong>.<br />

Dated:<br />

. All fees waived by the court must be reimbursed upon partial or full<br />

, Executive Officer/Clerk<br />

By:<br />

Deputy Clerk<br />

CERTIFICATE OF MAILING<br />

I, the below-named Executive Officer/Clerk <strong>of</strong> the above-entitled court, do hereby certify that I am not a party to the cause<br />

herein, <strong>and</strong> that on this date I served the Request <strong>for</strong> Entry <strong>of</strong> Judgment, Judgment, <strong>and</strong> Notice <strong>of</strong> Entry <strong>of</strong><br />

Judgment - Public Resources Code section 45014(c) upon each party or counsel named below by depositing in the<br />

United States mail at the courthouse in<br />

, Cali<strong>for</strong>nia, one copy <strong>of</strong> the original filed/entered herein<br />

in a separate sealed envelope to each address as shown below with postage thereon fully prepaid.<br />

, Executive Officer/Clerk<br />

By:<br />

Deputy Clerk<br />

LACIV 087 (Rev. 0/)<br />

REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT, Pub. Resources Code, § 45014(c);<br />

LASC Approved 07-05 AND NOTICE OF ENTRY OF JUDGMENT – Gov. Code, § 6103.5(d)<br />

PUBLIC RESOURCES CODE SECTION 4501(c) Page 2 <strong>of</strong> 2

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