CA / county FIPS 06019 / county research

Fresno County, California: environmental and disease records

Cancer mortality in Fresno County is 137.6 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Liver & bile duct deaths at 1.4 times the U.S. rate and Stomach deaths at 1.4 times the U.S. rate. Federal databases place 3,795 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (1,057), Small hazardous waste generator (854), Rail grade crossing (452). 6 correctional facilities operate in the county, at least one with health-based drinking water violations on record. EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 40 in a million, driven mainly by formaldehyde.

Rates are age-adjusted per 100,000 people. A cancer signal is marked significant when the lower bound of its 95 percent confidence interval is above the U.S. rate. Facility counts use active federal records located inside the county boundary. Approximate county center: 36.7461, -119.6363.

How this county ranks in California

View on the heat map Scan an address in this county

Cancer deaths and new cases versus the United States

Source: NCI and CDC State Cancer Profiles, both sexes, all ages. Sorted by the ratio of the county rate to the U.S. rate.

Cancer rates for Fresno County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Liver & bile duct	New cases	13.1	8.7	1.51xSignificant	12.2 to 14.2	2019-2023
Liver & bile duct	Deaths	9.3	6.6	1.41xSignificant	8.5 to 10.2	2020-2024
Stomach	Deaths	3.8	2.7	1.41xSignificant	3.3 to 4.4	2020-2024
Stomach	New cases	8.1	6.6	1.23xSignificant	7.3 to 8.9	2019-2023
Thyroid	Deaths	0.6	0.5	1.2x	0.4 to 0.9	2020-2024
Kidney & renal pelvis	New cases	19.9	17.9	1.11xSignificant	18.6 to 21.2	2019-2023
Kidney & renal pelvis	Deaths	3.7	3.4	1.09x	3.2 to 4.3	2020-2024
Childhood cancer (under 15)	Deaths	2	1.9	1.05x	1.2 to 3	2020-2024
Non-Hodgkin lymphoma	New cases	19.3	18.5	1.04x	18.1 to 20.6	2019-2023
Childhood cancer (under 15)	New cases	16.9	16.4	1.03x	14.6 to 19.4	2019-2023
Non-Hodgkin lymphoma	Deaths	4.9	4.8	1.02x	4.3 to 5.6	2020-2024
Pancreas	New cases	13.8	13.9	0.99x	12.7 to 14.8	2019-2023
Leukemia	Deaths	5.6	5.7	0.98x	5 to 6.3	2020-2024
Pancreas	Deaths	11.1	11.3	0.98x	10.2 to 12.1	2020-2024
All cancer	Deaths	137.6	143.2	0.96x	134.3 to 140.9	2020-2024
Leukemia	New cases	13.9	14.5	0.96x	12.9 to 15	2019-2023
All cancer	New cases	415.4	453.4	0.92x	409.7 to 421.1	2019-2023
Melanoma of the skin	Deaths	1.8	2	0.9x	1.4 to 2.2	2020-2024
Thyroid	New cases	11.7	13	0.9x	10.7 to 12.7	2019-2023
Brain & nervous system	New cases	5.3	6.2	0.85x	4.7 to 6	2019-2023
Esophagus	Deaths	3.1	3.7	0.84x	2.7 to 3.7	2020-2024
Bladder	Deaths	3.4	4.1	0.83x	2.9 to 4	2020-2024
Esophagus	New cases	3.8	4.6	0.83x	3.3 to 4.4	2019-2023
Bladder	New cases	15.4	18.7	0.82x	14.3 to 16.5	2019-2023
Melanoma of the skin	New cases	19.3	23.8	0.81x	18 to 20.5	2019-2023
Brain & nervous system	Deaths	3.5	4.4	0.8x	3 to 4.1	2020-2024
Lung & bronchus	Deaths	23.7	30.2	0.78x	22.3 to 25.1	2020-2024
Lung & bronchus	New cases	38.6	51.8	0.75x	36.9 to 40.4	2019-2023

Mortality measures versus the U.S. county median

Source: County Health Rankings, built from CDC National Vital Statistics System death records. The comparison value is the median of all U.S. counties.

Mortality measures for Fresno County
Measure	County	U.S. median	Difference	Unit
Premature death	9,008.1	9,842.6	-8%	years of life lost before age 75 per 100,000
Life expectancy	75.9	75.3	+1%	years
Child mortality	50.3	59.8	-16%	deaths under age 18 per 100,000
Infant mortality	5.7	6.2	-9%	deaths under age 1 per 1,000 live births
Injury deaths	71.6	96.9	-26%	deaths per 100,000
Drug overdose deaths	19.6	28.6	-31%	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 40 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde30.98 per million
Acetaldehyde3.49 per million
Carbon Tetrachloride2.92 per million
Pahpom1.92 per million

EPA Air Quality Index 2025

Monitored on 365 days: 105 good, 34 unhealthy for sensitive groups or worse. Median AQI 61, peak 164.

Regulated facilities, sites and hazards by type

3,795 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

NPDES wastewater discharge permit1,057
Small hazardous waste generator854
Rail grade crossing452
Gas station (mapped facility)227
Large hazardous waste generator209
Auto repair or body shop (mapped facility)171
Hazardous waste transporter159
Wastewater plant (mapped facility)159
Industrial wastewater discharge107
Brownfield property79
Major air pollution source47
Solar power plant44
Toxic chemical release facility (TRI)41
Air permit holder (minor source)34
TRI reporting facility33
Public airport17
Large greenhouse gas emitter16
Dry cleaner (mapped facility)14
Hydroelectric plant14
Gas power plant13
EPA air quality monitor11
Heliport10
Correctional facility (prison or jail)6
Superfund (NPL) site5
Landfill (mapped facility)4
Scrapyard (mapped facility)4
Commercial airport2
Biomass power plant2
Pumped storage plant2
Crematorium (mapped facility)1
Oil-fired power plant1

Highest-severity records

The 25 records with the highest Envyrofax severity in the county, with the agency identifier to cite in a records request.

Selma Treating Co., Selma
Superfund (NPL) site. Hazard Ranking System score 48.8. NPL Site.
EPA site ID CAD029452141 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Atlas Asbestos Mine, Fresno County
Superfund (NPL) site. Hazard Ranking System score 45.6. NPL Site.
EPA site ID CAD980496863 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Fresno Municipal Sanitary Landfill, Fresno
Superfund (NPL) site. Hazard Ranking System score 35.6. NPL Site.
EPA site ID CAD980636914 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Purity Oil Sales, Inc., Malaga
Superfund (NPL) site. Hazard Ranking System score 43.3. NPL Site.
EPA site ID CAD980736151 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Industrial Waste Processing, Fresno
Superfund (NPL) site. Hazard Ranking System score 51.1. NPL Site.
EPA site ID CAD980736284 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Sanger Boats Inc, Fresno
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 49,568 lbs released over 5 years.
TRI facility ID 93725SNGRB3316E (U.S. EPA Toxics Release Inventory)
Severity 8.1
E & J Gallo Winery, Fresno
TRI reporting facility. Penalties $47,166.
EPA FRS registry ID 110071799050 (U.S. EPA ECHO) Agency record
Severity 8
Modern Welding Co Of California, Fresno
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 29,566 lbs released over 5 years.
TRI facility ID 93722MDRNW4141N (U.S. EPA Toxics Release Inventory)
Severity 7.9
Fresno-Foundry, Fresno
EPA air quality monitor.
Record ID 060192016 (U.S. EPA AirData)
Severity 7.7
Rio Bravo Fresno, Fresno
Major air pollution source. Penalties $19,080.
EPA FRS registry ID 110000523755 (U.S. EPA ECHO) Agency record
Severity 7.5
Aera Energy, Fresno County
Major air pollution source. Penalties $39,000.
EPA FRS registry ID 110001189730 (U.S. EPA ECHO) Agency record
Severity 7.5
City Of Fresno, Public Works, Fresno
Major air pollution source. Penalties $28,500.
EPA FRS registry ID 110009544467 (U.S. EPA ECHO) Agency record
Severity 7.5
American Avenue Landfill, Kerman
Major air pollution source. Penalties $2,420.
EPA FRS registry ID 110013667488 (U.S. EPA ECHO) Agency record
Severity 7.5
Vitro Flat Glass Llc, Fresno
Major air pollution source. Penalties $685,500.
EPA FRS registry ID 110017403585 (U.S. EPA ECHO) Agency record
Severity 7.5
Va Medical Center, Fresno
Major air pollution source. Penalties $44,344.
EPA FRS registry ID 110038086807 (U.S. EPA ECHO) Agency record
Severity 7.5
Maddox Farms, Riverdale
Major air pollution source. Penalties $1,000.
EPA FRS registry ID 110067248142 (U.S. EPA ECHO) Agency record
Severity 7.5
Baker Commodities, Inc, Kerman
Major air pollution source. Penalties $21,080.
EPA FRS registry ID 110072215111 (U.S. EPA ECHO) Agency record
Severity 7.5
J R Simplot Co, Helm
Toxic chemical release facility (TRI). Chemicals: Ammonia, Nitric acid, Nitrate compounds (water dissociable; reportable only when in aqueous solution). 356,587 lbs released over 5 years.
TRI facility ID 93627JRSMP12688 (U.S. EPA Toxics Release Inventory)
Severity 7.3
Fresno-Pacific, Fresno
EPA air quality monitor.
Record ID 060195025 (U.S. EPA AirData)
Severity 7.3
Clearlight Energy Sanger Llc, Sanger
Major air pollution source. Penalties $25,000.
EPA FRS registry ID 110043805790 (U.S. EPA ECHO) Agency record
Severity 7.3
Jr Simplot, Helm
TRI reporting facility. Penalties $38,000.
EPA FRS registry ID 110000481979 (U.S. EPA ECHO) Agency record
Severity 7.2
Fresno - Garland, Fresno
EPA air quality monitor.
Record ID 060190011 (U.S. EPA AirData)
Severity 7.2
Guardian Industries, Inc., Kingsburg
TRI reporting facility. Penalties $69,490.
EPA FRS registry ID 110017432740 (U.S. EPA ECHO) Agency record
Severity 7.2
Excelsior Inc., Fresno
Toxic chemical release facility (TRI). Chemicals: Manganese, Chromium, Nickel, Lead and 1 more. Reports carcinogens. 2,289 lbs released over 5 years.
TRI facility ID 9372WXCLSR2681N (U.S. EPA Toxics Release Inventory)
Severity 7.1
Federal Bureau Of Prisons Fci Mendota, Mendota
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 2,045 lbs released over 5 years.
TRI facility ID 9364WFDRLB335WC (U.S. EPA Toxics Release Inventory)
Severity 7

Correctional facilities

Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.

Juvenile Justice Campus-North & South Wells Cl2, Fresno
EPA FRS registry ID
110048112421
Water system
CA1000570
Health-based violations
1 all time, 0 in 5 years
All violations
2
Contaminants cited
Coliform (TCR)
Wastewater permit
None on record
EPA detailed facility report
Calif State Prison - Coalinga, Coalinga
EPA FRS registry ID
110021301143
Wastewater permit
None on record
EPA detailed facility report
Federal Bureau Of Prisons Fci Mendota, Mendota
EPA FRS registry ID
110069247684
Wastewater permit
None on record
EPA detailed facility report
County Of Fresno Juvenile Justice Center, Fresno
EPA FRS registry ID
110070454928
Wastewater permit
None on record
EPA detailed facility report
Fresno County-Fresno County Jail, Fresno
EPA FRS registry ID
110070472442
Wastewater permit
None on record
EPA detailed facility report
Fresno County West Annex Jail, Fresno
EPA FRS registry ID
xb6a3fd08ef7c8daa5f21952881a8aeb1
Wastewater permit
Yes
EPA detailed facility report

Discovery / public records

Records to request for Fresno County

California state cancer registry
Cancer incidence counts by census tract or ZIP code, by cancer type and year (de-identified). Any cancer cluster inquiries or investigations in Fresno County, and their findings.
California vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
California health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
California environmental agency and the U.S. EPA regional office
Compliance history, inspection reports, notices of violation, penalties and enforcement actions for each facility above, cited by EPA FRS registry ID.
California drinking water program
Violation notices, sampling results and sanitary surveys for the public water systems serving the county, including any system serving a correctional facility.
Department of corrections or county sheriff
Water testing, grievances and environmental health inspections for the correctional facilities listed above.

Each Envyrofax address report includes a printable records request worksheet with the custodian and the exact request wording per finding.

Scan an address in Fresno County View on the heat map All California counties