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. g STATE OF CSALIFORNIA-OFFICE OF ADMINISTRATI \1\ \ For use by Secretary of State only (See instructions on reverse) ENDORSED • FILED STD. 400 (REV. 01-2013) REGULATORY ACTION NUMBER EMERGENCY NUMBER in the office of the Sacretary r.if Stitt of the State of (;~!• 1 !'lr:1111 lJ:~e.hJIL~fi NOTICE FILE NUMBER ·,~~}tE~?-1 2- OJ/o - () f 3 -0 3 S For use by Office of Administrative Law (OAL) only OCT 12 2016 ZIA AUG 30 P J: 2q OFFI CE OF AOHINJSTRATIVE LAW NOTICE REGULATIONS AGENCY FILE NUMBER (If any) AGENCY WITH RULEMAKING AUTHORITY A. PUBLICATION OF NOTICE (Complete for publication in Notice Register) NOTICE REGISTER NUMBER OJS 1. SUBJECT OF NOTICE Application Form Revision 3. NOTICE TYPE fvl Notice re Proposed D Regulatory Action Other OAL USE ACTION ON PROPOSED NOTICE TITLE(S) 16 4. AGENCY CONTACT PERSON David Skelton ONLY D Approved as D Approved as Submitted Modified . D Disapproved/ Wlhdrawn FIRST SECTION AFFECTED 1936 TELEPHONE NUMBER (916) 561-8722 ~ 2. REQUESTED PUBLICATION DATE 06/05/2015 FAX NUMBER (Optional) (916) 263-2469 B. SUBMISSION OF REGULATIONS (Complete when submitting regulations) 1b. ALL PREVIOUS RELATED OAL REGULATORY ACTION NUMBER(S) 1a. SUBJECT OF REGULATION(S) Application Form Revision - SPECIFY CALIFORNIA CODE OF REGULATIONS TrfLE(S) AND SECTION(S) (Including title 26, if toxics related) ADOPT SECTION(S) AFFECTED (List all section number(s) AMEND individually. Attach. additional sheet if needed.) 1936, 1936. 1, 1936.2 REPEAL TITLE(S) 16 3. TYPE OF FILING lg] Regular Rulemaking (Gov. D Certificate of Compliance: The agency officer named D Emergency Readopt (Gov. D Changes Without Regulatory Code § 11346) below certifies that this agency complied with the Code, § 11346.1 (h)) Effect (Cal. Code Regs., title D Resubmittal of disapproved or provisions of Gov. Code §§11346.2-11347.3 either 1,§100) withdrawn nonemergency before the emergency regulation was adopted or D File & Print D PrintOnly filing (Gov. Code §§11349.3, within the time period required by statute. 11349.4) D Emergency (Gov. Code, D Resubmittal of disapproved or withdrawn D Other(Specify) _________________ § 11346. l(b)) emergency filing (Gov. Code, §11346.1) 4 •11 [ "'NII GAND ENDING DATE_S OF AV~ BILITY OF MODIFIED REGULATIONS AND/OR MATERIAL ADDED TO THE RULEMAKING FILE (Cal. Code Regs. title 1, §44 and Gov. Code §11347 1) to ( f / b per agency June 7, 2016 - June 23, 2016 SEFFE IVE TEOF CHANGEJ;eql,ite&t e, §§ 1 IJ -3-4,-11-3-46-1-{d-),C_a_l._Co_d_eR-e-g,-.,-t,t-le-1,-§-100-)-------------------------------- lvl EffectiveJanuary1,Apnl1,July1,or D Effectiveonfillngw,th o §lOOChangesW,thout D Effective October 1 (Gov Code §11343 4(a)) Secrelary of State Regulato,y Effect other (Specify) 6. CHECK IF THESE REGULATIONS REQUIRE NOTICE TO, OR REVIEW, CONSULTATION, APPROVAL OR CONCURRENCE BY, ANOTHER AGENCY OR ENTITY Department of Finance (Form STD. 399) (SAM §6660) D Fair Political Practices Commission o State Fire Marshal fvl other rsoecifvl Awet Kidane, Director, Department of Consumer Affairs~~ ,, . . .. 7. CONTACT PERSON . I TELEPHONE NUMBER - FAX NUMBER ( anal) E-MAIL ADDRESS (Optional) David Skelton 916-561-8722 916-263-2469 [email protected] 8. I certify that the attached copy of the regulation(s) is a true and correct copy of the regulation(s) identified on this form, that the information specified on this form is true and correct, and that I am the head of the agency taking this action, or a desi nee of the head of the agency, and am authorized to ma~e this certification. For use by Office of Administrative Law (OAL) only ENDORSED APPROVED OCT 1 2 2016 Office of Administrative Law
