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The adoption of chapter 11-453 shall take effect <br />ten days after filing with the Office of the <br />Lieutenant Governor. <br />APPROVED AS TO FORM: <br />A <br />Deputy A orney General <br />Ai4464.0.7 <br />r <br />Chiyo n /a. a Fu ino, M:D. <br />Dire or o Health <br />APPROVED': <br />Linda Lingle <br />Governor, State"of Hawaii <br />Dated: <br />453-34 <br />01,-Cit0 <br />Filed <br />