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Tulare County, California: environmental and disease records

Cancer mortality in Tulare County is 146.7 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Childhood cancer (under 15) deaths at 1.9 times the U.S. rate and Liver & bile duct deaths at 1.7 times the U.S. rate. Federal databases place 2,018 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (481), Rail grade crossing (460), Small hazardous waste generator (342). 2 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: 36.2659, -118.8234.

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 Tulare County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Childhood cancer (under 15)	Deaths	3.7	1.9	1.95xSignificant	2.3 to 5.6	2020-2024
Liver & bile duct	Deaths	11	6.6	1.67xSignificant	9.6 to 12.5	2020-2024
Kidney & renal pelvis	Deaths	5.2	3.4	1.53xSignificant	4.3 to 6.3	2020-2024
Liver & bile duct	New cases	11.5	8.7	1.32xSignificant	10.1 to 13	2019-2023
Bladder	Deaths	4.9	4.1	1.2x	4 to 6	2020-2024
Stomach	Deaths	3.2	2.7	1.19x	2.5 to 4	2020-2024
Childhood cancer (under 15)	New cases	18.3	16.4	1.12x	15 to 22.1	2019-2023
All cancer	Deaths	146.7	143.2	1.02x	141.6 to 152	2020-2024
Brain & nervous system	Deaths	4.4	4.4	1x	3.6 to 5.4	2020-2024
Kidney & renal pelvis	New cases	17.6	17.9	0.98x	15.9 to 19.5	2019-2023
Leukemia	Deaths	5.5	5.7	0.96x	4.5 to 6.6	2020-2024
Non-Hodgkin lymphoma	Deaths	4.6	4.8	0.96x	3.7 to 5.6	2020-2024
Melanoma of the skin	Deaths	1.9	2	0.95x	1.4 to 2.6	2020-2024
Pancreas	Deaths	10.7	11.3	0.95x	9.3 to 12.2	2020-2024
Brain & nervous system	New cases	5.8	6.2	0.94x	4.8 to 6.9	2019-2023
Esophagus	Deaths	3.4	3.7	0.92x	2.6 to 4.3	2020-2024
Stomach	New cases	5.9	6.6	0.89x	4.9 to 7.1	2019-2023
Pancreas	New cases	12.4	13.9	0.89x	10.9 to 14	2019-2023
Thyroid	New cases	11.3	13	0.87x	9.9 to 12.8	2019-2023
Leukemia	New cases	12.4	14.5	0.86x	11 to 14	2019-2023
Non-Hodgkin lymphoma	New cases	15.4	18.5	0.83x	13.8 to 17.1	2019-2023
All cancer	New cases	371.8	453.4	0.82x	363.7 to 380.1	2019-2023
Esophagus	New cases	3.7	4.6	0.8x	3 to 4.6	2019-2023
Lung & bronchus	Deaths	24	30.2	0.79x	22 to 26.2	2020-2024
Bladder	New cases	13.8	18.7	0.74x	12.2 to 15.5	2019-2023
Lung & bronchus	New cases	30.4	51.8	0.59x	28.1 to 32.9	2019-2023
Melanoma of the skin	New cases	13.4	23.8	0.56x	11.9 to 15.1	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 Tulare County
Measure	County	U.S. median	Difference	Unit
Premature death	9,205.5	9,842.6	-6%	years of life lost before age 75 per 100,000
Life expectancy	75.5	75.3	+0%	years
Child mortality	45.9	59.8	-23%	deaths under age 18 per 100,000
Infant mortality	5.4	6.2	-13%	deaths under age 1 per 1,000 live births
Injury deaths	65.5	96.9	-32%	deaths per 100,000
Drug overdose deaths	18.7	28.6	-35%	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.

Formaldehyde30.78 per million
Acetaldehyde3.8 per million
Carbon Tetrachloride2.92 per million
Pahpom2.14 per million

EPA Air Quality Index 2025

Monitored on 365 days: 88 good, 43 unhealthy for sensitive groups or worse. Median AQI 64, peak 147.

Regulated facilities, sites and hazards by type

2,018 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

NPDES wastewater discharge permit481
Rail grade crossing460
Small hazardous waste generator342
Wastewater plant (mapped facility)159
Gas station (mapped facility)154
Large hazardous waste generator68
Industrial wastewater discharge58
Brownfield property48
Hazardous waste transporter45
Auto repair or body shop (mapped facility)42
Toxic chemical release facility (TRI)28
Solar power plant26
Major air pollution source24
TRI reporting facility23
Large greenhouse gas emitter8
Air permit holder (minor source)7
Public airport7
Landfill (mapped facility)7
Hydroelectric plant7
EPA air quality monitor5
Commercial airport3
Dry cleaner (mapped facility)3
Heliport3
Biomass power plant3
Gas power plant3
Correctional facility (prison or jail)2
Scrapyard (mapped facility)2

Highest-severity records

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

Land O Lakes - Tulare Dcca, Tulare
TRI reporting facility. Penalties $64,500.
EPA FRS registry ID 110000495713 (U.S. EPA ECHO) Agency record
Severity 8.9
Gfp Ethanol Llc Dba Calgren Renewable Fuels, Pixley
Toxic chemical release facility (TRI). Chemicals: Acetaldehyde, Acrolein, Formaldehyde, n-Hexane and 1 more. Reports carcinogens. 70,099 lbs released over 5 years.
TRI facility ID 9325WGFPTH1174R (U.S. EPA Toxics Release Inventory)
Severity 8.2
California Dairies Inc Visalia, Visalia
TRI reporting facility. Penalties $8,000.
EPA FRS registry ID 110001193814 (U.S. EPA ECHO) Agency record
Severity 8
Visalia-W. Ashland Avenue, Visalia
EPA air quality monitor.
Record ID 061072003 (U.S. EPA AirData)
Severity 7.7
Land O Lakes - Tulare Dcca, Tulare
Major air pollution source. Penalties $64,500.
EPA FRS registry ID 110000495713 (U.S. EPA ECHO) Agency record
Severity 7.5
California Dairies Inc Visalia, Visalia
Major air pollution source. Penalties $8,000.
EPA FRS registry ID 110001193814 (U.S. EPA ECHO) Agency record
Severity 7.5
City Of Tulare Water Facility, Tulare
Major air pollution source. Penalties $78,137.
EPA FRS registry ID 110017401159 (U.S. EPA ECHO) Agency record
Severity 7.5
Land O Lakes - Tulare Dcca, Tulare
NPDES wastewater discharge permit. Penalties $64,500.
EPA FRS registry ID 110000495713 (U.S. EPA ECHO) Agency record
Severity 7
California Dairies Inc Visalia, Visalia
NPDES wastewater discharge permit. Penalties $8,000.
EPA FRS registry ID 110001193814 (U.S. EPA ECHO) Agency record
Severity 7
City Of Tulare Water Facility, Tulare
NPDES wastewater discharge permit. Penalties $78,137.
EPA FRS registry ID 110017401159 (U.S. EPA ECHO) Agency record
Severity 7
Foster Farms Porterville Plant, Porterville
Toxic chemical release facility (TRI). Chemicals: Ammonia, Polycyclic aromatic compounds, Nitric acid. Reports carcinogens. 1,000 lbs released over 5 years.
TRI facility ID 93257DLMSF770NP (U.S. EPA Toxics Release Inventory)
Severity 6.8
California Dairies Tipton, Tipton
TRI reporting facility. Penalties $112,764.
EPA FRS registry ID 110000481489 (U.S. EPA ECHO) Agency record
Severity 6.5
Land O Lakes - Tulare Dcca, Tulare
Large greenhouse gas emitter. Penalties $64,500.
EPA FRS registry ID 110000495713 (U.S. EPA ECHO) Agency record
Severity 6.5
California Dairies Inc Visalia, Visalia
Large greenhouse gas emitter. Penalties $8,000.
EPA FRS registry ID 110001193814 (U.S. EPA ECHO) Agency record
Severity 6.5
Neo Tulare Llc/Visalia Landfill, Visalia
Major air pollution source.
EPA FRS registry ID 110021271942 (U.S. EPA ECHO) Agency record
Severity 6.5
Voltage Multipliers Inc., Visalia
Toxic chemical release facility (TRI). Chemicals: Nitric acid, Nitrate compounds (water dissociable; reportable only when in aqueous solution), Lead. Reports carcinogens. 202 lbs released over 5 years.
TRI facility ID 93291VLTGM8711W (U.S. EPA Toxics Release Inventory)
Severity 6.3
Bluescope Buildings N.A. Inc, Visalia
Toxic chemical release facility (TRI). Chemicals: Manganese, Chromium, Nickel, Copper and 1 more. Reports carcinogens. 173 lbs released over 5 years.
TRI facility ID 93279BLSCP744DE (U.S. EPA Toxics Release Inventory)
Severity 6.2
California Dairies Tipton, Tipton
Major air pollution source. Penalties $112,764.
EPA FRS registry ID 110000481489 (U.S. EPA ECHO) Agency record
Severity 6
Nutrien Ag Solutions, Alpaugh
Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Ammonia, Manganese And Manganese Compounds, Manganese compounds and 3 more. 5,644 lbs released over 5 years.
TRI facility ID 93201WSTRN3201A (U.S. EPA Toxics Release Inventory)
Severity 5.9
Saputo Cheese Usa Inc., Tulare
Toxic chemical release facility (TRI). Chemicals: Ammonia, Nonylphenol Ethoxylates, Nitrate compounds (water dissociable; reportable only when in aqueous solution), Nitric acid and 1 more. 3,091 lbs released over 5 years.
TRI facility ID 93274KRFTG800EP (U.S. EPA Toxics Release Inventory)
Severity 5.7
Kawneer Co Inc, Visalia
Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), Toluene, Certain glycol ethers, Dimethyl phthalate and 1 more. 3,074 lbs released over 5 years.
TRI facility ID 93291KWNRC7200D (U.S. EPA Toxics Release Inventory)
Severity 5.7
Pixley Ethanol, Pixley
TRI reporting facility.
EPA FRS registry ID 110064544907 (U.S. EPA ECHO) Agency record
Severity 5.6
California Dairies Tipton, Tipton
NPDES wastewater discharge permit. Penalties $112,764.
EPA FRS registry ID 110000481489 (U.S. EPA ECHO) Agency record
Severity 5.5
Land O Lakes - Tulare Dcca, Tulare
Small hazardous waste generator. Penalties $64,500.
EPA FRS registry ID 110000495713 (U.S. EPA ECHO) Agency record
Severity 5.5
Mm Tulare Energy, Visalia
Major air pollution source. Penalties $8,200.
EPA FRS registry ID 110054254793 (U.S. EPA ECHO) Agency record
Severity 5.5

Correctional facilities

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

Tulare Co Correctional Center Road Camp-Well 03 - Trt Cl2, Visalia
EPA FRS registry ID
110049786530
Water system
CA5400797
Health-based violations
6 all time, 1 in 5 years
All violations
17
Contaminants cited
Coliform (TCR), LEAD AND COPPER RULE REVISIONS
Wastewater permit
None on record
EPA detailed facility report
Bob Wiley Detention Facility-Well 03 - Northwest - Trt Cl2, Visalia
EPA FRS registry ID
110049804208
Water system
CA5401074
Health-based violations
2 all time, 0 in 5 years
All violations
4
Contaminants cited
Coliform (TCR)
Wastewater permit
None on record
EPA detailed facility report

Discovery / public records

Records to request for Tulare 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 Tulare 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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