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Administrative Draft Environmental Impact Report Gill Medical Center Project 1.0 INTRODUCTION This Draft Environmental Impact Report (Draft EIR or EIR) identifies and evaluates the potential environmental impacts associated with implementation of the Gill Medical Center Project (Project) proposed in San Joaquin County, north of the City of Stockton. The proposed Project entails development of a ±42.4-acre health center and hospital campus built to Office of State Health Planning and Development (OSHPD) 1 Standards, in two phases. Phase 1 includes a 36,000-square-foot single story 12-bed hospital including emergency room, labor, delivery, emergent medicine, and outpatient surgery services. Phase 2 includes an additional three-story 140,000-square-foot 100-bed full-service hospital with Level III Trauma designation, emergency heliport landing area, and a two-story 60,000-square-foot medical office building. The Project includes landscaping, circulation, parking and onsite water, wastewater and stormwater utility improvements commensurate with phased development. Phase 1 construction is planned for 2023 and Phase 2 for 2030. The Project seeks the following entitlements/approvals from San Joaquin County: Site Approval (application number PA-1900240); Lot Line Adjustment (application number ); and, Development Agreement (application number 1.1 PURPOSE AND USE OF THE EIR This EIR was prepared in accordance with the California Environmental Quality Act (CEQA) (Public Resources Code §§ 21000-21177) and the Guidelines for the Implementation of CEQA (California Administrative Code §15000 et seq.). San Joaquin County has primary approval authority over the Project and is therefore the designated Lead Agency with responsibility for considering the Project's environmental effects in accordance with the California Environmental Quality Act (CEQA). CEQA requires that the potential environmental impacts of a project be identified and that mitigation measures be recommended that may reduce significant impacts. CEQA requires the Lead Agency, in this case the County, to consider the information contained in the EIR prior to taking any discretionary action. This EIR may also be used by other public agencies that must take discretionary actions related to the Project. This EIR is intended to provide information to the County, other public agencies, and the general public regarding the potential significant direct, indirect, and cumulative environmental impacts associated with the Project.The EIR process also requires investigation and development of feasible mitigation measures to reduce significant adverse environmental effects of the Project to levels below significance. CEQA requires a Lead Agency neither approve nor implement a project unless significant environmental impacts have been reduced (CEQA Guidelines Section 15091), or, if a Lead Agency approves the Project even though significant impacts identified in the EIR cannot be fully mitigated, the Lead Agency must state in writing the reasons for its action by adopting Findings and a Statement of Overriding Considerations (CEQA Guidelines Section 1S093). Section 1.0 Introduction 1-1 October 2021