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Administrative Draft Environmental Impact Report Gill Medical Center Project Potential impacts to four sensitive plant and animal species as well as migratory birds and raptors. Potential impacts to paleontological resources. Potential impacts due to the routine transport, use, disposal, or accidental release of hazardous materials during Project construction and operation. Potential impacts to unknown cultural and tribal resources. It should be noted that without development of new strategically located medical facilities, under the No Project Alternative patients and medical workers in the medically underserved north Stockton area would continue to travel to existing hospitals in the greater Sacramento and Bay Areas, contributing to area wide VMT, and transportation related air and GHG emissions. The No Project Alternative has the overall effect of eliminating proposed Project significant and unavoidable VMT and GHG impacts, as well as the above significant but mitigable impacts.The tradeoff for this impact reduction is that the No Project Alternative does not address the need for new or expanded medical facilities and services within the underserved north Stockton area. This existing condition would prolong regional VMT and GHG impacts associated with the north Stockton medical services sector. 6.4.2 Alternative 2: Reduced Project—Phase 1 Hospital Only Under Alternative 2, only proposed Phase 1 improvements would be constructed including the smaller single story 12-bed hospital, circulation, landscaping, and onsite water, wastewater and storm water facilities necessary to serve Phase 1. As shown on Figure 3-5, construction disturbance would be limited to the Phase 1 area only, or 12.5 acres of the western most proposed 42.4-acre Project site (an approximate 71 percent reduction in site development). Medical services offered under Alternative 2 would include emergency room, labor, delivery, emergent medicine, and outpatient surgery services, although not at the scale that would be provided under full buildout of the proposed Project. The Reduced Project Alternative would generate less VMT and related construction and operational air emissions, including less GHG emissions, compared to the proposed Project. However, while GHG emissions would be reduced under Alternative 2, they would not be reduced below the applicable threshold and would remain significant and unavoidable. Further, while reduced VMT and GHG impacts would be realized in the near term under Alternative 2, without development of additional new strategically located medical facilities in the medically underserved north Stockton area, in the long term patients and medical workers would continue to travel to other existing hospitals in the greater Sacramento and Bay Areas. Compared to the proposed Project, this would contribute to greater medical service sector area wide VMT, and transportation related air and GHG emission impacts over the long term. Thus, the Reduced Project Alternative would result in a short-term reduction to this existing regional impact. Finally, because it's located in the Phase 2 development area approximately 250 feet east of the Phase 1 boundary, Alternative 2 would also eliminate significant but mitigable impacts associated with the former gas well. Alternatives 6-22 October 2021