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Administrative Draft Environmental Impact Report Gill Medical Center Project 4.2.3 Cumulative Impact Analysis The State CEQA Guidelines (Section 15130) requires that an EIR discuss cumulative impacts of a project and determine whether the project's incremental effect is "cumulatively considerable." The definition of cumulatively considerable is provided in CEQA Guidelines Section 15O65(a)(3): "Cumulatively considerable" means that the incremental effects of an individual project are significant when viewed in connection with the effects of past projects, the effects of other current projects, and the effects of probable future projects. According to the State CEQA Guidelines (Section 1513O(b)) The discussion of cumulative impacts shall reflect the severity of the impacts and their likelihood of occurrence, but the discussion need not provide as great detail as is provided for the effects attributable to the project alone.The discussion should be guided by standards of practicality and reasonableness and should focus on the cumulative impact to which the identified other projects contribute rather than the attributes of other projects which do not contribute to the cumulative impact. For purposes of this EIR, the project would have a significant cumulative effect if it meets either one of the following criteria: The cumulative effects of related projects (past, current, and probable future projects) without the project are not significant but the project's incremental impact is substantial enough, when added to the cumulative effects, to result in a significant impact; or The cumulative effects of related projects (past, current, and probable future projects)without the project are already significant and the project represents a considerable contribution to the already significant effect.The standards used herein to determine "considerable contribution" are that the impact either must be substantial or must exceed an established threshold of significance. Mitigation measures are to be developed, where feasible, that reduce a project's contribution to cumulative effects to less than considerable. 4.2.3.1 Geographic Scope The analysis of cumulative environmental impacts addresses the potential incremental impacts of the project in combination with those of other past, present, and probable future projects and land use changes. The geographic area that could be affected by development of the proposed project varies depending on the type of environmental resource being considered. The general geographic area associated with various environmental effects of construction and operation of the Proposed Project defines the boundaries of the area used for the cumulative impact analysis.Table 4.1-1 presents the general geographic areas associated with the different resources addressed in this EIR's cumulative analysis.As shown, unless otherwise noted, the cumulative impacts analysis area is primarily regionally inclusive of San Joaquin County, however for some issues, a more local geographic area is defined (i.e., the more immediate project vicinity). Introduction to Impact Analysis 4-3 October 2021