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Sacramento County, California: environmental and disease records

Cancer mortality in Sacramento County is 144.3 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Stomach deaths at 1.2 times the U.S. rate and Liver & bile duct deaths at 1.2 times the U.S. rate. Federal databases place 4,107 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (1,634), Small hazardous waste generator (1,249), Rail grade crossing (278). 14 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 50 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: 38.3771, -121.2757.

How this county ranks in California

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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 Sacramento County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Childhood cancer (under 15)	Deaths	2.5	1.9	1.32x	1.8 to 3.5	2020-2024
Stomach	Deaths	3.3	2.7	1.22xSignificant	3 to 3.7	2020-2024
Thyroid	Deaths	0.6	0.5	1.2x	0.4 to 0.8	2020-2024
Liver & bile duct	New cases	10.2	8.7	1.17xSignificant	9.6 to 10.9	2019-2023
Liver & bile duct	Deaths	7.7	6.6	1.17xSignificant	7.2 to 8.3	2020-2024
Stomach	New cases	7.3	6.6	1.11xSignificant	6.7 to 7.9	2019-2023
Kidney & renal pelvis	Deaths	3.6	3.4	1.06x	3.2 to 4	2020-2024
Brain & nervous system	Deaths	4.6	4.4	1.05x	4.2 to 5.1	2020-2024
Pancreas	Deaths	11.6	11.3	1.03x	10.9 to 12.3	2020-2024
Melanoma of the skin	New cases	24.4	23.8	1.03x	23.4 to 25.5	2019-2023
Pancreas	New cases	14.1	13.9	1.01x	13.3 to 14.9	2019-2023
All cancer	Deaths	144.3	143.2	1.01x	141.8 to 146.8	2020-2024
Childhood cancer (under 15)	New cases	16.5	16.4	1.01x	14.5 to 18.7	2019-2023
Bladder	Deaths	4.1	4.1	1x	3.7 to 4.6	2020-2024
Brain & nervous system	New cases	6.2	6.2	1x	5.7 to 6.8	2019-2023
Non-Hodgkin lymphoma	Deaths	4.8	4.8	1x	4.4 to 5.3	2020-2024
Leukemia	Deaths	5.5	5.7	0.96x	5 to 6	2020-2024
Non-Hodgkin lymphoma	New cases	17.4	18.5	0.94x	16.5 to 18.3	2019-2023
All cancer	New cases	418.7	453.4	0.92x	414.4 to 423	2019-2023
Thyroid	New cases	11.6	13	0.89x	10.9 to 12.4	2019-2023
Bladder	New cases	16.5	18.7	0.88x	15.6 to 17.3	2019-2023
Kidney & renal pelvis	New cases	15.7	17.9	0.88x	14.8 to 16.5	2019-2023
Melanoma of the skin	Deaths	1.7	2	0.85x	1.4 to 2	2020-2024
Lung & bronchus	Deaths	24.9	30.2	0.82x	23.9 to 25.9	2020-2024
Lung & bronchus	New cases	42.7	51.8	0.82x	41.3 to 44.1	2019-2023
Leukemia	New cases	11.7	14.5	0.81x	11 to 12.4	2019-2023
Esophagus	New cases	3.7	4.6	0.8x	3.4 to 4.2	2019-2023
Esophagus	Deaths	2.9	3.7	0.78x	2.6 to 3.3	2020-2024

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 Sacramento County
Measure	County	U.S. median	Difference	Unit
Premature death	7,615.5	9,842.6	-23%	years of life lost before age 75 per 100,000
Life expectancy	78	75.3	+4%	years
Child mortality	48.5	59.8	-19%	deaths under age 18 per 100,000
Infant mortality	4.9	6.2	-21%	deaths under age 1 per 1,000 live births
Injury deaths	73.5	96.9	-24%	deaths per 100,000
Drug overdose deaths	28.5	28.6	-0%	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 50 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde31.25 per million
Acetaldehyde4.11 per million
Naphthalene4.06 per million
Carbon Tetrachloride2.97 per million

EPA Air Quality Index 2025

Monitored on 365 days: 198 good, 5 unhealthy for sensitive groups or worse. Median AQI 49, peak 122.

Regulated facilities, sites and hazards by type

4,107 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

NPDES wastewater discharge permit1,634
Small hazardous waste generator1,249
Rail grade crossing278
Large hazardous waste generator277
Industrial wastewater discharge193
Hazardous waste transporter145
Air permit holder (minor source)85
Brownfield property79
Solar power plant45
Toxic chemical release facility (TRI)28
TRI reporting facility20
Major air pollution source14
Correctional facility (prison or jail)14
Public airport10
EPA air quality monitor7
Heliport6
Gas power plant6
Commercial airport5
Large greenhouse gas emitter5
Superfund (NPL) site4
Hydroelectric plant2
Biomass 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.

Sacramento Army Depot, Sacramento
Superfund (NPL) site. Hazard Ranking System score 44.5. NPL Site.
EPA site ID CA0210020780 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
McClellan Air Force Base (Ground Water Contamination), Sacramento
Superfund (NPL) site. Hazard Ranking System score 57.9. NPL Site.
EPA site ID CA4570024337 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Mather Air Force Base, Sacramento
Superfund (NPL) site. Hazard Ranking System score 28.9. NPL Site.
EPA site ID CA8570024143 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Aerojet General Corp., Rancho Cordova
Superfund (NPL) site. Hazard Ranking System score 54.6. NPL Site.
EPA site ID CAD980358832 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Grafil Incorporated, Sacramento
TRI reporting facility.
EPA FRS registry ID 110000486037 (U.S. EPA ECHO) Agency record
Severity 9.2
Silgan Containers Mfg Corp, Sacramento
Toxic chemical release facility (TRI). Chemicals: n-Butyl alcohol, Certain glycol ethers, Methyl isobutyl ketone, Xylene (mixed isomers). Reports carcinogens. 68,830 lbs released over 5 years.
TRI facility ID 95824SLGNC6200F (U.S. EPA Toxics Release Inventory)
Severity 8.2
Agilent Technologies Inc, Folsom
Toxic chemical release facility (TRI). Chemicals: Dichloromethane, Methanol, Toluene. Reports carcinogens. 46,088 lbs released over 5 years.
TRI facility ID 95630GLNTT91BLU (U.S. EPA Toxics Release Inventory)
Severity 8.1
Dt Fiberglass Inc, Sacramento
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 35,744 lbs released over 5 years.
TRI facility ID 95892DTFBR8900O (U.S. EPA Toxics Release Inventory)
Severity 8
Wilbur Ellis Co Llc Rio Linda Hub, Rio Linda
Toxic chemical release facility (TRI). Chemicals: Ammonia, Pendimethalin, Hexazinone, Propanil and 4 more. Reports carcinogens. 26,214 lbs released over 5 years.
TRI facility ID 9567WWLBRL841WE (U.S. EPA Toxics Release Inventory)
Severity 7.9
Ampac Fine Chemicals Llc, Rancho Cordova
Toxic chemical release facility (TRI). Chemicals: Dichloromethane, Acetonitrile, Methanol, Methyl tert-butyl ether and 4 more. Reports carcinogens. 20,323 lbs released over 5 years.
TRI facility ID 95741RJTFNHWY5O (U.S. EPA Toxics Release Inventory)
Severity 7.8
Sacramento County Landfill (Kiefer), Sloughhouse
Major air pollution source. Penalties $1,232,821.
EPA FRS registry ID 110017972764 (U.S. EPA ECHO) Agency record
Severity 7.5
D & T Fiberglass, Sacramento
TRI reporting facility.
EPA FRS registry ID 110000486091 (U.S. EPA ECHO) Agency record
Severity 7.4
Mitsubishi Chemical Carbon Fiber & Composites Inc., Sacramento
Toxic chemical release facility (TRI). Chemicals: Ammonia, Hydrogen cyanide. 413,945 lbs released over 5 years.
TRI facility ID 95828CRTLD59008 (U.S. EPA Toxics Release Inventory)
Severity 7.3
Sacramento County Landfill (Kiefer), Sloughhouse
Large hazardous waste generator. Penalties $1,232,821.
EPA FRS registry ID 110017972764 (U.S. EPA ECHO) Agency record
Severity 7
Sacramento County Landfill (Kiefer), Sloughhouse
NPDES wastewater discharge permit. Penalties $1,232,821.
EPA FRS registry ID 110017972764 (U.S. EPA ECHO) Agency record
Severity 7
Procter & Gamble, Sacramento
TRI reporting facility. Penalties $3,630.
EPA FRS registry ID 110017423448 (U.S. EPA ECHO) Agency record
Severity 6.9
Ampac Fine Chemicals Llc, Rancho Cordova
TRI reporting facility. Penalties $139,758.
EPA FRS registry ID 110028001187 (U.S. EPA ECHO) Agency record
Severity 6.8
Grafil Incorporated, Sacramento
Major air pollution source.
EPA FRS registry ID 110000486037 (U.S. EPA ECHO) Agency record
Severity 6.5
Allied Aviation Fueling Co Inc, Sacramento
Toxic chemical release facility (TRI). Chemicals: Ethylbenzene, Naphthalene. Reports carcinogens. 334 lbs released over 5 years.
TRI facility ID 95837LLDVT721EA (U.S. EPA Toxics Release Inventory)
Severity 6.4
Procter & Gamble Mfg. Co., Sacramento
Toxic chemical release facility (TRI). Chemicals: Methanol, Copper compounds, Chromium and Chromium Compounds(except for chromite ore mined in the Transvaal Region), Copper And Copper Compounds and 1 more. 24,154 lbs released over 5 years.
TRI facility ID 95826PRCTR8201F (U.S. EPA Toxics Release Inventory)
Severity 6.4
Santa Fe Pacific Pipeline Ltd Partnership, Sacramento
Major air pollution source. Penalties $28,861.
EPA FRS registry ID 110000899010 (U.S. EPA ECHO) Agency record
Severity 6.3
Hp Hood Sacramento, Sacramento
TRI reporting facility.
EPA FRS registry ID 110000519993 (U.S. EPA ECHO) Agency record
Severity 6.2
Agilent Technologies Inc, Folsom
TRI reporting facility.
EPA FRS registry ID 110000902925 (U.S. EPA ECHO) Agency record
Severity 6.1
Wilbur Ellis Company Llc Rio Linda, Rio Linda
TRI reporting facility.
EPA FRS registry ID 110070203035 (U.S. EPA ECHO) Agency record
Severity 6
Aerojet Rocketdyne, Inc., Rancho Cordova
Large hazardous waste generator. Penalties $78,000.
EPA FRS registry ID 110057093149 (U.S. EPA ECHO) Agency record
Severity 6

Correctional facilities

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

Rio Cosumnes Correctional Facility, Elk Grove
EPA FRS registry ID
110013896105
Water system
CA3400229
Health-based violations
2 all time, 1 in 5 years
All violations
9
Contaminants cited
Arsenic, LEAD AND COPPER RULE REVISIONS
Wastewater permit
None on record
EPA detailed facility report
Folsom State Prison, Folsom
EPA FRS registry ID
110013159795
Water system
CA3410032
Health-based violations
1 all time, 1 in 5 years
All violations
3
Contaminants cited
LEAD AND COPPER RULE REVISIONS
Wastewater permit
None on record
EPA detailed facility report
Folsom State Prison, Represa
EPA FRS registry ID
110000783475
Wastewater permit
Yes
EPA detailed facility report
Department Of Corrections, Sacramento
EPA FRS registry ID
110002713617
Wastewater permit
None on record
EPA detailed facility report
Sacramento County Main Jail, Sacramento
EPA FRS registry ID
110066683994
Wastewater permit
None on record
EPA detailed facility report
Cdcr - California State Prison - Sacramento, Represa
EPA FRS registry ID
110070417639
Wastewater permit
None on record
EPA detailed facility report
Department Of Corrections - Mcgee Correctional Training Center, Galt
EPA FRS registry ID
110070442892
Wastewater permit
None on record
EPA detailed facility report
County Of Sacramento Rio Cosumnes Correctional Facility, Elk Grove
EPA FRS registry ID
110070446026
Wastewater permit
None on record
EPA detailed facility report
California Correctional Training And Rehabilitation Authority, Sacramento
EPA FRS registry ID
110070480139
Wastewater permit
None on record
EPA detailed facility report
Auto Boot Camp Llc, Rancho Cordova
EPA FRS registry ID
110070513773
Wastewater permit
None on record
EPA detailed facility report
State Of Ca Correctional Health Serv/Central Fill Pharmacy, Sacramento
EPA FRS registry ID
110070592032
Wastewater permit
None on record
EPA detailed facility report
State Of Calif Prison - Sacramento, Represa
EPA FRS registry ID
110071233663
Wastewater permit
None on record
EPA detailed facility report
Sacramento County Rio Cosumnes Correctional Center, Elk Grove
EPA FRS registry ID
110072233998
Wastewater permit
None on record
EPA detailed facility report
Rio Cosumnes Correctional Center Pump Station S012 Rehabilitation Project, Elk Grove
EPA FRS registry ID
xcfc258fb716594b46f85d587cc30d16a
Wastewater permit
Yes
EPA detailed facility report

Discovery / public records

Records to request for Sacramento 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 Sacramento 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.

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