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&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; XX 医院建设项目 &nbsp;环境影响报告书 &nbsp;(报批 稿 ) 建设单位： XX 医院 &nbsp;评价单位： XX 环发环保工程有限公司 &nbsp;I 目录 &nbsp;1 前言 &nbsp;. 1 1.1 项目由来 &nbsp;. 1 1.2 评价工作程序 &nbsp;. 4 1.3 评价目的及原则 &nbsp;. 5 1.4 关注的主要环境问题 &nbsp;. 5 1.5 本报告的主 要结论 &nbsp;. 6 2 总则 &nbsp;. 7 2.1 评价依据 &nbsp;. 7 2.2 环境功能区划 &nbsp;. 11 2.3 评价标准 &nbsp;. 16 2.4 环境影响评价工作等级和评价范围 &nbsp;. 21 2.5 环境敏感点和环境保护目标 &nbsp;. 28 2.6 评价重点 &nbsp;. 30 2.7 评价因子和评价方法 &nbsp;. 30 3 工程概况及工程分析 &nbsp;. 32 3.1 项目概况 &nbsp;. 32 3.2 公共工程分析 &nbsp;. 36 3.3 施工期污染因子及源强分析 &nbsp;. 37 3.4 营运期污染 源分析 &nbsp;. 38 3.5 项目污染源汇总 &nbsp;. 48 3.6 建设项目污染源治理措施 &nbsp;. 49 4 区域第四章 &nbsp;环境概况和社会经济状况 &nbsp;. 55 4.1 自然环境特征 &nbsp;. 55 4.2 社会经济概况 &nbsp;. 58 5 第五章 &nbsp;环境现状调查与评价 &nbsp;. 63 5.1 地表水环境质量现状调查与评价 &nbsp;. 63 5.2 环境空气质量现状监测和评价 &nbsp;. 70 5.3 声环境现状调查与平价 &nbsp;. 72 6 第六章 &nbsp;建设期环境影响评价 &nbsp;. 76 7 第七章 &nbsp;营运期环境影响分析 &nbsp;. 80 II 7.1 地表水水环境影响分析和评价 &nbsp;. 80 7.2 地下水环境影响分析 &nbsp;. 82 7.3 营运期环境空气影响分析 &nbsp;. 83 7.4 声环境影响评价 &nbsp;. 88 7.5 固体废物环境影响分析 &nbsp;. 91 8 第八章 &nbsp;污染防治措施及其技术可行性分析 &nbsp;. 94 8.1 建设期污染防治措施 &nbsp;. 94 8.2 营运期污染防治措施及经济可行性分析 &nbsp;. 96 9 第九章 &nbsp;环境风险分析 &nbsp;. 107 9.1 风险源项识别 &nbsp;. 107 9.2 典型风险事故影响分析 &nbsp;. 107 9.3 环境风险管理 &nbsp;. 114 10 内外环境对本项目的影响 &nbsp;. 124 10.1 内环境对项目的环境影响分析 &nbsp;. 124 10.2 外环境对项目的环境影响分析 &nbsp;. 125 11 产业政策、规划符合性及选址合理性分析 . 127 11.1 产业政策相符性分析 &nbsp;. 127 11.2 项目选址与城市医疗机构布局的相符性分析 &nbsp;. 127 11.3 符合中共中央、国务院关于深化医药卫生体制改革的意见和关于进一步鼓励和引导社会资本举办医疗机构的意见 &nbsp;. 127 11.4 环境功能区的相符性分析 &nbsp;. 128 11.5 项目选址合理性分析 &nbsp;. 129 11.5 用地合法性分析 &nbsp;. 129 11.6 项目平面布局合理性分析 &nbsp;. 130 12 环境经济损益分析 &nbsp;. 133 12.1 环境保护措施投资 &nbsp;. 133 12.2 社会经济效益与环境效益的简要分析 &nbsp;. 134 13 第十三章 &nbsp;公众参与 &nbsp;. 136 13.1 公众参与的定义 . 136 13.2 公众参与的法律基础 &nbsp;. 136 13.2 公众参与的目的和意义 &nbsp;. 136 III 13.3 公众参与的形式与内容 &nbsp;. 137 13.4 项目信息公示 . 137 13.5 问卷调查 &nbsp;. 141 13.6 调查结果统计与分析 &nbsp;. 145 13.7 公众参与调查小结 &nbsp;. 152 14 第十四章 &nbsp;清洁生产和总量控制分析 &nbsp;. 153 14.1 清洁生产概况 &nbsp;. 153 14.2 总量控制 &nbsp;. 155 15 环境管理与监测计划 &nbsp;. 157 15.1 装修期环境管理和监测计划 &nbsp;. 157 15.2 营运期 的监测计划和环境管理 &nbsp;. 158 15.2 项目 &nbsp;三同时 验收 &nbsp;. 161 16 第十六章 &nbsp;结论 &nbsp;. 163 16.1 建设项目概况 . 163 16.2 环境质量现状评价结论 &nbsp;. 163 16.3 环境影响评价结论 &nbsp;. 163 16.3 环境风险评价结论 &nbsp;. 165 16.4 清洁生产分析 . 165 16.5 污染物总量控制 . 165 16.6 产业政策、规划符合性及选址合理性分析 &nbsp;. 166 16.7 公众参与 &nbsp;. 166 16.8 环境影响评价总结论 &nbsp;. 167 16.9 建议 &nbsp;. 167 IV 附件 &nbsp;附件 1：委托书 &nbsp;附 件 2 医疗机构执业许可证 &nbsp;附件 3XX 省医疗机构诊疗科目核定表 &nbsp;附件 4 房产证 &nbsp;附件 5 同意设置 XX 医院的批复 &nbsp;附件 6 同意 XX 医院变更执业地点的批复 &nbsp;附件 7 同意周卓民同志担任 XX 医院法人代表 &nbsp;附件 8 辐射安全许可证 &nbsp;附件 9 医疗废物收运处置协议书 &nbsp;附件 10 公参 &nbsp;附件 11 监测报告 &nbsp;附图 &nbsp;附图 1 &nbsp;各层平面图 &nbsp;1 1 前言 &nbsp;1.1 项目由来 &nbsp;项目建设场址位于 XX 市漠江路 373-379 号 ， 原为 XX 市中医院用地， 地理位置图见图 1.1-1。 该院整体搬迁后 ，项目投资人周 卓民拟租用该栋大楼 进行改造， 建设 XX 医院。 XX 医院是一家综合性医院， 场址内现有一栋框架 十层半 建筑物，项目投资方对现有 十层半 建筑物进行改造装修用 作 该医院用楼 ， 项目占地面积 423.28 平方米，总建筑面积 4955.26 平方米 。 改造前后的情况见表 1.1-1。 &nbsp;表 1.1-1 &nbsp;改造前后情况表 &nbsp;原 XX市中医院 &nbsp;博爱医院 &nbsp;变动情况 &nbsp;各 &nbsp;层 &nbsp;功 &nbsp;能 &nbsp;一 层 &nbsp;急诊科、抢救室、小手术室、中心补液室、腹泻门诊、高压氧仓、放射科、 CT 室、重症监护室 &nbsp;急诊科、抢救室、小手术室、中心补液室、发热门诊、腹泻门诊、高压氧仓、放射科、 CT室、重症监护室、专家诊室 &nbsp;重新装修吊顶，增加了 4个专家诊室 &nbsp;二层 &nbsp;收款处、儿科、妇产科、中医科、内科、外科、换药室、妇检科、体检中心 &nbsp;药房、收款处、办公室、儿科、妇产科、中医科、内科、外科、换药室、妇检科、体检中心 &nbsp;大厅部分诊室改为药房及医保办公室 &nbsp;三层 &nbsp;食堂、康复理疗科、检验科、B超室、心电图室、胃镜室、碎石科 &nbsp;食堂、康复理疗科、检验科、 B 超室、心电图室、胃镜室、碎石科、消毒供应室、值班室 &nbsp;将食堂改为消毒供应室及员工值班房 &nbsp;四 -八层 &nbsp;病房 &nbsp;病房 &nbsp;不变 &nbsp;九层 &nbsp;办公行政区域 &nbsp;骨科、手外科、住 院区 &nbsp;将办公行政区域调整为病房 &nbsp;十层 &nbsp;手术室 &nbsp;手术室 &nbsp;不变 &nbsp;其他 &nbsp;停车场部分 调整为 医疗废物贮物间、生活垃圾间及洗衣房，发电机房，水泵房保持不变。 DR 室、 CT 室基本延用原中医院的功能设施 。重新建污水处理2 设施 。 &nbsp;本项目原为 XX 市 中医院 ， 与本项目性质相同， 其部分设施可继续利用， 建设单位只是对原中医院的 进行装修 ，部分功能作为调整 ，没有破坏房产的主体结构 ， 建设单位合理利用了原有的资源。 &nbsp;本项目 总投资 1100 万元，其中环保投资 约 36 万元。本项目属于 私营 ，全院共设床位 120 张， 内设 急诊科 、内科、外科、妇产科、儿科 、 中医科、发热门诊、骨科 、理疗科、检验科 等 。 建设单位根据当前的就医环境及卫生局的文件 ， 设置了一个发热门诊，如果发现疑似病例，该院基本转移到上一级医院（三甲以上医院），不进行单独诊治。 另外，项目 内的 DR 机、 CT 机属于辐射装置 ，建设单位应另行委托有相应资质的单位对辐射环境影响进行单独评价，本报告书不涉及辐射环境影响评价内容。 &nbsp;根据中华人民共和国环境保护法、中华人民共和国环境影响评价法、建设项目环境保护管理条例（ 1998）国务院令第 253 号、 XX 省建设项目环境保护管理条例 （ 2012 年 7 月 26 日） 等 相关法律法规的有关要求， 一切可能对环境造成影响的新建、扩建或改建项目必须实行环境影响评价审批制度，以便能有效的控制新的污染和生态破坏，保护环境、利国利民。 XX 医院建设 项目属于新建性质 。受建设单位的委托， XX 环发环保工程有限公司承担了本项目的环境影响评价工作。 我公司接受委托后，成立了项目小组，进行现场踏勘调查、资料收集整理，在此基础上，依据国家有关法规、环境影响评价技术规范等相关要求，编制完成了本项目环境影响报告书，供建设单位上报审批。 &nbsp;3 图 1.1-1 &nbsp;项目地理位置图 &nbsp;项目所在地 &nbsp;项目所在地 &nbsp;4 1.2 评价工作程序 &nbsp;图 1.2-1 &nbsp;</p>