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It remained in operation until 1993 when it was replaced by the modern Richmond Medical Center hospital, that has subsequently expanded to a large multiple building campus.
Point Richmond was originally the commercial hub of the city, but a new downtown arose in the center of the city. During the war the population increased dramatically and peaked at around 120,000 by the end of the war.
The western terminus of the Santa Fe Railroad was established in Richmond with ferry connections at Ferry Point in the Brickyard Cove area of Point Richmond to San Francisco.His loyalty to the town of his birth caused him to persuade a federal surveying party mapping the San Francisco Bay to place the names "Point Richmond" and "Richmond" on an 1854 geodetic coast map, which was the geodetic map at the terminal selected by the San Francisco and San Joaquin Valley Railroad; and by 1899 maps made by the railroad carried the name "Point Richmond Avenue", designating a county road that later became Barrett Avenue, a central street in Richmond.The Atchison, Topeka and Santa Fe Railroad had its terminus at Richmond.The city borders San Francisco Bay to the southwest and San Pablo Bay to the northwest, and includes Brooks Island and the Brother Islands entirely, and half of Red Rock Island.There are several cities and unincorporated communities surrounding or bordering Richmond.