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envisioned, buildout of the Medical Center may include expansion of the hospital by an additional 175,000 square feet to accommodate an additional 120 beds; the construction of two additional medical office buildings of approximately 100,000 square feet each; and the potential for a structured parking garage. This potential buildout would not occur until after completion of Phase 1, but is anticipated prior to 2030. ENVIRONMENTAL REVIEW Pursuant to the California Environmental Quality Act (CEQA), a Draft Environmental Impact Report (Draft EIR) was prepared by the City of San Leandro Community Development Department and released for public review on January 25, 2010. The 45 -day public comment period on the Draft EIR ended on March 10, 2010. After the close of the public comment period, all comments that were received (either orally at the February 18, 2010 Planning Commission hearing or in writing) have been responded to in a Final EIR document. Pursuant to CEQA Guidelines, responses to public agency comments have been published and made available to all commenting agencies at least 10 days prior to this hearing. The Draft EIR, comments and responses to those comments, and any necessary changes to the Draft EIR, together comprise the Final EIR for the project. The Planning Commission has had an opportunity to review all comments and responses thereto prior to consideration of certification of the EIR and prior to taking any action on the proposed project. Scope of the EIR The EIR comprehensively assesses the full range of potential environmental impacts of Kaiser's Phase 1 development plans for the Medical Center at a detailed, project -specific level. Since the precise timing, order and rate of development associated with full buildout of the Medical Center are dependent upon a number of currently unknown factors, and since buildout of the mixed-use retail development is dependent upon the economics of the retail industry and thus subject to change, these buildout scenarios are assessed at a more general, programmatic level. It is anticipated that, following the submittal of any project -specific development proposal for either the Mixed -Use Retail Development or for buildout of the Medical Center, additional environmental analysis would likely be required. Significant Environmental Issues Other than the impacts discussed below, all of the environmental effects of the project can be reduced to less than significant levels through implementation of mitigation measures recommended in the EIR. The proposed project will result in significant and unavoidable impacts associated with the environmental topics discussed below. In order to approve the proposed project, the City would have to adopt a Statement of Overriding Consideration for these significant unavoidable impacts. Planning Commission Staff Report April 22, 2010 Kaiser Permanente San Leandro Medical Center and Mixed Use Retail Development Project Page 5 of 28