of analyzing the transportation network during the peak hour was to capture the network went maximum use would occur, as such any and all impacts would be included. that holds true only of the impacts are the impacts measured by levels of service. that is not what we're talking about. we're talking about unobstructed visibility on crosswalks. we are talking about cars failing to yield to pedestrians because they are trying to get through the lead because they have been stuck behind vehicles letting off passengers that are unloading goods. because there is not proper maintenance. the loading zones are not properly used, and more. these are all medical issues if people follow the code -- of these issues can all be mitigated if people follow the code and it is enforced. regrettably, it is not. that is the failure of action on the part of cpmc and city

agencies and result in adverse impacts from the use intensity that are not considered or not mitigated. it should be pointed out that metrics other than los can do a good job of looking at adverse effects on the community, as opposed to just looking at impacts on other vehicle traffic. the second point is that there was an ss position wastr 13 that the significance criteria address all modes. that is speaking of someone who uses two of the three modes and used to use the third mode, bicycle, a lot. that is about half true. the pedestrian assessment looks at -- are the sidewalks widened enough? is the cross for quite enough to handle the traffic? it does not look at such things as, did the pedestrians actually yield to the turning traffic or does that cause a major back up

because the right lane does not move forward? it does not look at such things as a white zone adjacent to a bicycle lane, which is a very high pick up and drop off trade with the doors opening into the bicycle lane. to me, that is an accident waiting to happen. it does not seem to be considered. the plan -- the response in tr 75 addresses a comment about japantown parking. it is interesting. it is conclusion -- its conclusion is based on an unratified 2005 draft to japantown better neighborhoods document that this commission sent back to the community to refi. it is based specifically on data that was contest it in public

comment at this commission when it was being heard, and when we looked at that data in detail, we found that, while, yes, on average the capacity of the garage was good, but at peak times when large numbers of customers would use japantown, the garage was at one under present capacity, and there were significantly decreased revenues. we understand parking as such is not an impact. but the impact of parking on the community, if there is a demonstrable adverse impact, is something that can be considered or should be considered. finally, various responses demonstrated the analysis did not understand or pay attention to actual conditions. a couple of examples.

these common responses assert that they look at times when the san francisco unified school district was in session and did not find any adverse impacts. the problem is they looked in june, and in june, the private schools that drive the adverse interactions are out of session. so they missed peak traffic impacts that do play a significant role. they asserted that the newcomer high school site was nowhere in -- nowhere near any pacific cpmc facility, ignoring the fact that the newcomer high school site, the physical side were that building used to be, is on a jackson and webster, and its use was undetermined. so there are major gaps in terms of the gauge that was used for the analysis, attention to adverse impacts on a residence that occurred throughout the day, and are frequently less

during the peak commute hours than they are during the midday times. and therefore, they're totally and captured by the focus. these are all major gaps that, on the traffic section, indicate that it is and inadequate and insufficient analysis that does not lead you, as policy makers, as says the trade-offs between benefits an adverse impact on the community. until that is addressed, i urge you to not certify this document. thank you. commissioner fong: thank you. >> good afternoon. i am george, a member of unitarian universalist church. i am here to speak in support of creating a mitigation

monitoring, reporting, and enforcement committee has requested by the coalition of san francisco for health care, housing, jobs, and justice. our historic sanctuary at the unitarian church is located across the intersection from the proposed cathedral hill hospital loading dock. our magnificent stained-glass windows will transfer noise from the loading dock, including the beep, beep, beep of delivery trucks, and the significant and unavoidable noise of oxygen in deliveries and medical waste removal equipment. in addition, there remains the potential for delivery trucks creating blocked intersections with frustrated drivers on and geary and o'farrell streets

laying on of their horns. i appreciate that the representatives agreed to even stronger medications than originally proposed to address these challenges, but many of those medications are contingent -- many of those mitigations are contingent to closing those doors which will is not going to happen and then trying something else. over the years, i can foresee these mitigations being forgotten and ignored. for that reason, i urge you to support at least this one suggestion from the coalition and required the creation of a mitigation reporting and enforcement committee. thank you. commissioner fong: thank you. tim, joseph, pat.

pat, joseph? you'll have to pull down that microphone. >> let me change it. ok. >> thank you very much. my name is joseph flanagan. i am the vice chair for the department of developmental services supervisory committee. i would like to say two things. one is i am supporting cpmc fully with the cooperation,

helping, and support that they gave me. number two is i am hoping that the planning commission of san francisco will support him as well. thank you very much. commissioner fong: thank you. >> hi, thank you very much for this opportunity to speak. i want to thank linda avery in being a wonderful and helping with my accommodations. i do believe that the commission and the deputies need a little better training in how to accommodate people with disabilities for these large

hearings. my name is patricia lovelock. i am one of the neighbors to the west of this project. it is as if we do not exist. i live within the area with the heavily used arterioles that go through the city, and i see every single day the traffic, the particulate matter on my plants that i have to wash off daily. i see pedestrian safety problems. in fact, when i was one day trying to just across the street in front of the pacific campus, they had so many vans double and triple park across waccamaw i went in and asked them if they could please keep the crosswalks clear, and i was laughed at. this kind of attitude that people who have had experiences with cpmc is exactly why we do not trust them to do just common

sense mitigation. some of these mitigations they need to be doing where they are now, and they will not. i think it is reprehensible that we have to take the arm and twisted. i want this to be a magnificent institution for health care for people. the eir does not address the issues of the noise, the haunting that happens when the car's back up. i have seen emergency vehicles on franklin street have to go on the sidewalk to get through. and they backed up into traffic. the traffic will not part for them. the idea of having even more is very frightening. additionally, the brt program, including more traffic onto franklin street and polk street,

the other parallel streets to van ness, and now we are going to be faced with all of these driveways on franklin street accessing the hospital. it is already a very difficult issue for pedestrians and traffic. [bell rings] we have other projects that also happening that are going to have driveways. taxicabs are not going to go into those in driveways, the interior driveway. there is also no place for paratransit vans that have to wait for passengers. and the are only for managed care. many disabled are on medicare and medi-cal. we have the right to choose. august or september 2010, i requested to see somebody ought patient for that insurance and was flatly denied by cpmc.

commissioner fong: thank you very much. if i called your name, come on up. have i called your name? marlena, carlito, stanley. >> ok? good afternoon, commissioners. my name is angelina, 81 years young. i am a senior and lived in the tenderloin for 27 years now. i am also in member of the tenderloin filipino american

community organization. as a resident in the tenderloin, i have spoken several times about why we should not approve cpmc's planning of this. i have spoken several times about why we should disapprove cpmc's plan. it will not serve us. we need a hospital that will accept seniors and low-income families as well. we demand that sutter cpmc do its fair share of serving low- income patients. cpmc should not have the burden of -- [unintelligible] sutter cpmc should be made accountable and pay back what they owe in terms of providing services to low-income

residents. we want to make sure that medicare and patience and families -- we are demanding cpmc for a partnership with the community-based clinic in the tenderloin so that residents can have access. we want cpmc to address these issues by having a community benefits agreement that is acceptable for the community. [speaking foreign language] ok. commissioner fong: thank you. [laughter] >> my name is teselle, a resident of the south side. i support 3a because we need at st. luke's to operate at full

capacity. our area is already underserved. this is the district's nine, 10, 11, the whole southeast side. if you recall when they made their presentation, they talked about st. luke's by saying secure the future for st. luke's. how is that possible with only 80 beds? we asked you revisit alternative 3a as the most appropriate basis for the project. it is also the best option to meet the whole city is in need -- city's need. thank you. commissioner fong: thank you. i called everyone's name here, right? >> commissioners, thank you for this chance for the community to address you. my name is alex, and i am here because i support 3a because st.

luke's is so important to our community. i remember that six was the place to go if you had no option. many uninsured and underinsured people could go there if they had no other options. over the years, cpmc has been making it harder and harder to get care. i support expanding st. luke's is part of the plan for the vital services for low-income residents of the south side of the city. we have seen in our society what happens when people are underrepresented and they get affected by so many cuts. please, i am asking for you to see this side of the people in need. i, myself, have been going to general for service, and it is

overcrowded. so we do definitely need the whole community of san francisco to have st. luke's not only restored to what it used to be and maybe even expand it. please join me to join3a -- please join me to support 3a. thank you very much. >> hello. my name is jason frazier. i do not have anything prepared today, but i am here to speak against the dmbc -- whatever it is. i want to say that i had multiple sclerosis, part of the tenderloin. and i believe that i need a place where i can go that is close to the tenderloin, because i go to general now. it is good.

i like general. there should be more like general. a profit making company like that pmbc plays is not right. thank you, my friends. . giants. [laughter] commissioner fong: go giants. >> good afternoon, commissioners. it's like a resident of tenderloin for about six years. it supported the filipino community organization. i am here today to speak about the proposal for the cpmc hospital on and van ness and how this project will affect low- income residents in tenderloin. i know that affordable housing in the tenderloin is a very hard

to find. most families in tenderloin share with relatives and friends in a small one-studio unit because they cannot afford the rent. some employees of cpmc plan to come into the neighborhood, causing displacement among low- income families. we have been in the tenderloin -- [unintelligible] wherever these people -- this will help address their housing needs. that is why it is very important for cpmc to follow the van ness and area plant requirements to build affordable housing. therefore, i demand that cpmc

should it do more affordable housing in the community. we cannot add to the housing problem of the community, but in said -- but instead, we want cpmc to help our community housing needs. to help the low-income families in our community. thank you very much, commissioners. >> good afternoon. i have lived in the tenderloin for the past 23 years. i am a senior citizen, and i am also a member of the tenderloin filipino american community organization. i am also here to ask the commissioners and your members to ensure that cpmc does its fair share of serving low-income families in our community. we need a development in our neighborhood. cpmc should also serve our

needs. tenderloin residents need better access to hospital care. cpmc must accept more medi-cal and medicare patients. we're demanding this. cpmc forming a partnership with the community-based clinic in the tenderloin ex-president's can have preferred access. therefore, -- the tenderloin or residents can have preferred access to please ensure that cpmc will give complete benefits to the committee through a community benefit a great for this project is approved. thank you. >> good afternoon, commissioners. i am a member of the tenderloin

filipino american community association and a resident of tenderloin. i am here today to ask the honorable members of the planning commission to ensure that cpmc will do its fair share of serving the health care needs of the low-income families in the tenderloin, based on the records, cpmc's profit was 12 times the combined annual profit of private, nonprofit hospitals. yet, their record in providing this is the lowest base of net patient revenue. [unintelligible] as a non-profit entity. we in the tenderloin are united in demanding that cpmc must do its fair share in helping the

low-income residents in the tenderloin. we need real access to care. cpmc should increase affordable access to all kinds of hospital health care, especially for seniors and low-income families. cpmc must also support our community clinics so that they can provide adequate service agreements. we want cpmc to address these issues by signing a community benefits agreement that is acceptable to the community. i thank you. >> good afternoon. my name is tom, a seven-year resident of the tenderloin. health care is extremely important to us all, and i want to address this issue. my chief concern for health care is that many people in the tenderloin not only get sick at

a higher rate than normal, but there death ensues in many cases. we have to improve overall healthcare in the tenderloin district and to have a nurse practitioner come in each building at least an hour a week. this would not only serve the people in a practical way but would increase their awareness of the living with health in mind, and is the nurse practitioner being in the building every week would cause the residents to take note of the critical health issues which could affect their very lives. i believe the service could be rendered with considerable ease by cpmc. they make enough profit to sustain a community progress. we want you to take a close look at the study is already done on the health issue, because we believe the present eir does not effectively convey the true condition of health care in the tenderloin. presently, we know that cpmc is capable of doing much better job with the community in mind

because of their vast resources and income. we urged the commissioners to take a new study in carefully assess the true nature of the situation. rebuild cpmc the right way. thank you very much. >> good afternoon, commissioners. my name is rose, and i lived in the tenderloin for the past 20 years. i am also a member of the tenderloin filipino american community association. we need development of our community, but this development should also help the low-income residents in our community. cpmc continues to make super profits while giving very little of that profit back in terms of health care services for the poor.

worse is that the plan to downgrade the things that so many low-income communities depend on. cpmc must operate in be sustainable and phillippe stop st. luke's hospital for the southeastern san francisco committees. it is writes for them to think of profits and service to the port. i hope that our good commissioners will ensure that cpmc do its fair share in serving low-income patients before they think up approving it. we demand that cpmc should increase primary-care access in our community and make long-term commitments to the community- based clinics in providing direct care in the hospital. we should ensure many medicare and medi-cal patients like we're

able to use cpmc facilities. we have the right to health care. we demand that cpmc should hear our voice and come up with a solution to these issues by signing a mutually-accepted community benefits agreement. thank you very much. >> thank you, commissioners. i am a member of the tenderloin filipino american community association. cpmc should address all of important issues that our communities in demand like affordable housing, access to health care, local hiring, and traffic impacts. tenderloin will be most affected by the projected over 1400 new households.

the new cpmc employees will find housing in nearby communities. what will happen to our housing market if they do not sufficiently addressed housing needs? the low-income community will be competing with them for affordable housing. second, we do not agree to the proposal to hire only 40 people a year for five years from the community. we cannot agree to a neighbor that is unresponsive to our needs. we want more jobs, more local hiring, and more opportunities. we demand for peace and local hiring for all the jobs they plan to create. -- 50% local hiring. how well cpmc addressed the traffic impact? van ness is already highly congested. so these cars will surely find other ways through the tenderloin, and that will cause