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one million, respectively. The excess cancer risk over the course of a residential lifetime (30 years), <br />utilizing age sensitivity factors, is approximately 1,300 in one million. The infant, child, adult, and <br />lifetime cancer risks all exceed the SCAQMD threshold of 10 in one million, thus resulting in a potentially <br />significant impact not previously addressed or identified by the Staff Report or 2018 DSEIR. Utilizing age <br />sensitivity factors is the most conservative, health -protective analysis according to the most recent <br />guidance by OEHHA and reflects recommendations from the air district. Results without age sensitivity <br />factors are presented in the table above, although we do not recommend utilizing these values for <br />health risk analysis. Regardless, the excess cancer risk to adults, children, infants, and during the 3rd <br />trimester of pregnancy at the MEIR located approximately 125 meters away, over the course of Project <br />construction and operation, without age sensitivity factors, are approximately 91, 270, 43, and 0.46 in <br />one million, respectively. The excess cancer risk over the course of a residential lifetime (30 years), <br />without age sensitivity factors, is approximately 410 in one million. The infant, child, adult, and lifetime <br />cancer risks, without age sensitivity factors, all exceed the SCAQMD threshold of 10 in one million, thus <br />resulting in a potentially significant impact not previously addressed or identified by the Staff Report or <br />2018 DSEIR. While we recommend the use of age sensitivity factors, health risk impacts exceed the <br />SCAQMD threshold regardless. <br />Furthermore, according to CEQA Guidelines section 15162(a): <br />(a) When an EIR has been certified or a negative declaration adopted for a project, no <br />subsequent EIR shall be prepared for that project unless the lead agency determines, on the <br />basis of substantial evidence in the light of the whole record, one or more of the following: <br />(3) New information of substantial importance, which was not known and could not have <br />been known with the exercise of reasonable diligence at the time the previous EIR was <br />certified as complete or the negative declaration was adopted, shows any of the following: <br />(A) The project will have one or more significant effects not discussed in the previous EIR or <br />negative declaration" (emphasis added). <br />As you can see in the excerpt above, if a significant impact is found that was not previously discussed in <br />the EIR, a subsequent EIR should be prepared. Here, as SWAPE's updated analysis indicates a potentially <br />significant health risk impact that was not previously discussed in the 2018 DSEIR, a subsequent EIR <br />should be prepared for the Project. <br />Our analysis represents a screening -level HRA, which is known to be conservative and tends to err on <br />the side of health protection.19 The purpose of the screening -level construction and operational HRA <br />shown above is to demonstrate the link between the proposed Project's emissions and the potential <br />health risk. Our screening -level HRA demonstrates that construction and operation of the Project could <br />result in a potentially significant health risk impact, when correct exposure assumptions and up-to-date, <br />19 "Risk Assessment Guidelines Guidance Manual for Preparation of Health Risk Assessments." OEHHA, February <br />2015, available at: https://oehha.ca.gov/media/downloads/crnr/2015guidancemanual.pdf, p. 1-5 <br />12 <br />