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Administrative Draft Environmental Impact Report Gill Medical Center Project needs would be developed and provided onsite as part of the Project.The site would be accessed from the existing road network and no public road extensions are required to construct or operate the project. With exception of the hospitals and office building, proposed physical improvements would not directly or indirectly contribute to population growth. The Project would provide employment opportunities which may influence people currently residing outside the area to relocate closer to the Project site or within the City of Stockton or surrounding communities. According to the Economic Assessment of Demand and Urban Decay in the Stockton Area for Proposed Gill Medica(Center Report (King 2020.) (Appendix 1), the project, at full buildout, is expected to generate approximately 600 onsite well-paying jobs. This job growth could result in a potential indirect influence on the local population and place demands on housing in the area. However, as discussed in the Economic Assessment prepared for the Project, the Project area currently experiences a "leakage" of medical related jobs and patients seeking care due to the lack of nearby health care facilities. Leakage describes the phenomena of seeking a good or service outside of one's trade area (typically near one's residence or possibly near one's place of work). With regard to the medical care industry, it is likely that some residents in San Joaquin County receive medical care services in the Sacramento Area and the greater Bay Area, where there is a higher number of high-quality medical facilities and personnel as well as a greater number of specialists. Coincidently, many medical industry practitioners (especially nurses) who reside in San Joaquin County do not necessarily practice there, but rather work in these two alternative trade areas where there are more hospitals and Medical Office Buildings (MOBS).Therefore, most jobs generated by development of the Project are expected to be filled mainly by existing residents in the Stockton area. The Project site is along the City of Stockton northern Fringe Area and is uniquely located to serve planned and approved growth in the north Stockton area. This includes the 341-acre Tra Vigne development project, as well as rural citizens to the east, west and north, and residents of the City of Lodi. The Project is consistent with County policy to provide adequate community supporting facilities and is better described as growth serving than growth accommodating.Therefore, the Project fits in context with existing and approved but not yet constructed development and is consistent with related County land use policy as discussed in draft EIR Section 4.13 Land Use. The Project does not include housing and therefore does not have a direct growth inducing impact. However, the Project does have the following indirect growth inducing characteristics: creation temporary construction jobs; creation of new permanent employment opportunities including up to 600 onsite well-paying jobs; and, Creation of increased demand on transportation infrastructure, community noise, and adverse environmental impacts such as degradation of air quality, and conversion of agricultural land to developed uses. In summary the Project is not expected to induce substantial direct or indirect unplanned population growth in the area. Growth inducing impacts are less than significant. Other CEQA Analysis 5-2 October 2021