i have attached at least one proposal of how the city, through its efforts, with public-private partnerships can readdress that situation. it is nets, in st. -- nuts, insane, that this is not been addressed. it is the lack of a public- private partnership of the city's share -- public-private partnership. the city's share, particularly given the seismic event inevitably, over 1 million people will be here for three months without service. despite the so-called blue ribbon committee that sutter health is a non-contributor to a live beating -- to alleviating disaster relief. two-thirds of the city will be

left helpless. secondly, the -- [bell rings] there is a gas pipeline within damage range of this building that, can -- commendably, sutter health has looked into. there is a city-sponsored it strange, and it is volatile. i do not know why the hell it has not been dug. thank you very much for your attention. please certify -- [bell rings] commissioner fong: thank you. we will go back to the person we called earlier. >> good afternoon, commissioners. thank you. my name is paul. i will hope to be brief. i have a letter and supporting documentation.

the eir, and i want to focus specifically on traffic issues, clearly, according to the documentation in the response document, follows the standard requirements, ceqa requirements. it has gone through the appendix g checklist. it has used san francisco standard practice. based on that, it looks at the individual modes of transportation. pedestrian, bicycle, vehicles, transit. however, that does not necessarily answer the questions that affect the quality of life of residents in the surrounding neighborhoods. and these are issues that we have raised repeatedly cpmc, both repeatedly -- repeatedly, both with cpmc and with planning

staff, in prior communications. so, the first key comment is that the peak period level of service analysis that is used is inadequate to assess the impact of a high use facility in residential neighborhoods. what we see are transient traffic phenomenons that cause pedestrian hazards, bicycle hazards, and vehicular hazards. because of driver behaviors. we see congestion at that changes the way people in the community walk, drive, and live their lives during the business hours. this is not something that looking at a peak hour level of service captures. in tr 10, it asserts the intent 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 news