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Clay County, Florida: environmental and disease records

Cancer mortality in Clay County is 161.4 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Melanoma of the skin deaths at 1.6 times the U.S. rate and Lung & bronchus deaths at 1.2 times the U.S. rate. Federal databases place 545 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (222), Industrial wastewater discharge (122), Gas station (mapped facility) (45). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 30 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: 29.9563, -81.8247.

How this county ranks in Florida

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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 Clay County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Melanoma of the skin	Deaths	3.2	2	1.6xSignificant	2.3 to 4.3	2020-2024
Leukemia	New cases	21.5	14.5	1.48xSignificant	19 to 24.2	2019-2023
Melanoma of the skin	New cases	33.6	23.8	1.41xSignificant	30.5 to 36.9	2019-2023
Lung & bronchus	New cases	71.6	51.8	1.38xSignificant	67.3 to 76.2	2019-2023
Non-Hodgkin lymphoma	New cases	23.9	18.5	1.29xSignificant	21.4 to 26.7	2019-2023
Lung & bronchus	Deaths	36.9	30.2	1.22xSignificant	33.9 to 40.2	2020-2024
Esophagus	New cases	5.5	4.6	1.2x	4.3 to 6.9	2019-2023
Leukemia	Deaths	6.8	5.7	1.19x	5.4 to 8.4	2020-2024
All cancer	New cases	523	453.4	1.15xSignificant	510.8 to 535.6	2019-2023
Kidney & renal pelvis	Deaths	3.9	3.4	1.15x	3 to 5.1	2020-2024
Bladder	Deaths	4.7	4.1	1.15x	3.6 to 6.1	2020-2024
All cancer	Deaths	161.4	143.2	1.13xSignificant	154.8 to 168.4	2020-2024
Childhood cancer (under 15)	New cases	18.2	16.4	1.11x	12.9 to 25.1	2019-2023
Bladder	New cases	20.7	18.7	1.11x	18.3 to 23.3	2019-2023
Kidney & renal pelvis	New cases	19.8	17.9	1.11x	17.5 to 22.4	2019-2023
Liver & bile duct	New cases	9.6	8.7	1.1x	8.1 to 11.4	2019-2023
Brain & nervous system	New cases	6.8	6.2	1.1x	5.4 to 8.4	2019-2023
Esophagus	Deaths	4	3.7	1.08x	3 to 5.2	2020-2024
Pancreas	Deaths	12	11.3	1.06x	10.2 to 14	2020-2024
Pancreas	New cases	14.6	13.9	1.05x	12.6 to 16.8	2019-2023
Brain & nervous system	Deaths	4.6	4.4	1.05x	3.5 to 5.9	2020-2024
Stomach	New cases	6.8	6.6	1.03x	5.5 to 8.4	2019-2023
Liver & bile duct	Deaths	6.4	6.6	0.97x	5.1 to 7.9	2020-2024
Non-Hodgkin lymphoma	Deaths	4.5	4.8	0.94x	3.4 to 5.8	2020-2024
Thyroid	New cases	12	13	0.92x	10.1 to 14.1	2019-2023
Stomach	Deaths	2.1	2.7	0.78x	1.4 to 3.1	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 Clay County
Measure	County	U.S. median	Difference	Unit
Premature death	9,534.5	9,842.6	-3%	years of life lost before age 75 per 100,000
Life expectancy	75.4	75.3	+0%	years
Child mortality	55	59.8	-8%	deaths under age 18 per 100,000
Infant mortality	5.3	6.2	-15%	deaths under age 1 per 1,000 live births
Injury deaths	93.5	96.9	-4%	deaths per 100,000
Drug overdose deaths	34.9	28.6	+22%	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 30 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde20.16 per million
Carbon Tetrachloride2.9 per million
Acetaldehyde1.93 per million
Benzene0.8 per million

EPA Air Quality Index

No EPA air quality monitor reports daily AQI for this county.

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit222
Industrial wastewater discharge122
Gas station (mapped facility)45
Rail grade crossing45
Air permit holder (minor source)32
Small hazardous waste generator25
Brownfield property12
Auto repair or body shop (mapped facility)8
Toxic chemical release facility (TRI)6
Public airport5
TRI reporting facility5
Wastewater plant (mapped facility)5
Heliport4
Large hazardous waste generator2
Hazardous waste transporter2
Landfill (mapped facility)2
Major air pollution source1
Airfield1
Solar 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.

The Chemours Company Tt Llc - Florida Mine - Trail Ridge, Starke
TRI reporting facility. Penalties $10,000.
EPA FRS registry ID 110007242947 (U.S. EPA ECHO) Agency record
Severity 8.4
Us Army National Guard Camp Blanding Ranges, Starke
Toxic chemical release facility (TRI). Chemicals: Copper, Lead And Lead Compounds, Lead compounds. 377,817 lbs released over 5 years.
TRI facility ID 3209WCMPBL5629S (U.S. EPA Toxics Release Inventory)
Severity 7.3
Camp Blanding Joint Training Center, Starke
TRI reporting facility.
EPA FRS registry ID 110000788185 (U.S. EPA ECHO) Agency record
Severity 6.9
Mobro Marine Inc, Green Cove Springs
Large hazardous waste generator. Penalties $42,147.
EPA FRS registry ID 110064134761 (U.S. EPA ECHO) Agency record
Severity 5.8
Ash Street Facility, Orange Park
NPDES wastewater discharge permit. Penalties $16,819.
EPA FRS registry ID 110014413107 (U.S. EPA ECHO) Agency record
Severity 5.5
Peggy Geer / Ps Geer Inc., Middleburg
Major air pollution source. Penalties $6,550.
EPA FRS registry ID 110039627204 (U.S. EPA ECHO) Agency record
Severity 5.3
Safety-Kleen Systems Orange Park (Opf), Orange Park
Toxic chemical release facility (TRI). Chemicals: Ethylene glycol, Benzo[g,h,i]perylene, Lead, Polycyclic aromatic compounds. Reports carcinogens. 8 lbs released over 5 years.
TRI facility ID 32073SFTYK161IN (U.S. EPA Toxics Release Inventory)
Severity 5.2
The Chemours Company Tt Llc - Florida Mine - Trail Ridge, Starke
NPDES wastewater discharge permit. Penalties $10,000.
EPA FRS registry ID 110007242947 (U.S. EPA ECHO) Agency record
Severity 5
Spencer Wwtp, Orange Park
NPDES wastewater discharge permit.
EPA FRS registry ID 110010042881 (U.S. EPA ECHO) Agency record
Severity 4.8
Forterra Pipe & Precast - Green Cove Springs, Green Cove Springs
Toxic chemical release facility (TRI). Chemicals: Lead, Nitrate compounds (water dissociable; reportable only when in aqueous solution). Reports carcinogens.
TRI facility ID 32043HPPGR419US (U.S. EPA Toxics Release Inventory)
Severity 4.6
Titan Florida-Orange Park Rmc Plant, Orange Park
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens.
TRI facility ID 3206WTRMCM333CE (U.S. EPA Toxics Release Inventory)
Severity 4.6
Preferred-Green Cove Rm, Green Cove Springs
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens.
TRI facility ID 3204WVCNPR1219C (U.S. EPA Toxics Release Inventory)
Severity 4.5
Fleming Island Regional Wwtf, Orange Park
NPDES wastewater discharge permit.
EPA FRS registry ID 110027970159 (U.S. EPA ECHO) Agency record
Severity 4.5
New Ngc Incd/B/A National Gypsum Co, Green Cove Springs
TRI reporting facility.
EPA FRS registry ID 110009075945 (U.S. EPA ECHO) Agency record
Severity 4.3
Mobro Marine Inc, Green Cove Springs
NPDES wastewater discharge permit. Penalties $42,147.
EPA FRS registry ID 110064134761 (U.S. EPA ECHO) Agency record
Severity 4.3
Hanson Pipe & Precast - Green Cove Springs, Green Cove Springs
TRI reporting facility.
EPA FRS registry ID 110022411184 (U.S. EPA ECHO) Agency record
Severity 4
Vcna Prestige Concrete-Green Cove Springs, Green Cove Springs
TRI reporting facility.
EPA FRS registry ID 110060261130 (U.S. EPA ECHO) Agency record
Severity 4
Safety-Kleen Systems Inc - Orange Park Facility, Orange Park
Large hazardous waste generator.
EPA FRS registry ID 110000611473 (U.S. EPA ECHO) Agency record
Severity 3.8
Safety-Kleen Systems Inc - Orange Park Facility, Orange Park
NPDES wastewater discharge permit.
EPA FRS registry ID 110000611473 (U.S. EPA ECHO) Agency record
Severity 3.8
Miller Street Wwtf, Middleburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110037313010 (U.S. EPA ECHO) Agency record
Severity 3.8
Ridaught Landing Wwtf, Middleburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110006366896 (U.S. EPA ECHO) Agency record
Severity 3.3
Green Cove Spgs-Reynolds Ind, Green Cove Springs
NPDES wastewater discharge permit. Penalties $8,000.
EPA FRS registry ID 110010043684 (U.S. EPA ECHO) Agency record
Severity 3.3
Permabase Building Products - Jacksonville, Green Cove Springs
Toxic chemical release facility (TRI). Chemicals: Lead compounds, Lead And Lead Compounds.
TRI facility ID 32043NFXSN1767W (U.S. EPA Toxics Release Inventory)
Severity 3
Green Cove Springs Downtown, Green Cove Springs
Brownfield property.
EPA FRS registry ID 110040821402 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Wager Property, Green Cove Springs
Brownfield property.
EPA FRS registry ID 110043455196 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3

Correctional facilities

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

No correctional facility with an EPA record is located in this county.

Discovery / public records

Records to request for Clay County

Florida 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 Clay County, and their findings.
Florida vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Florida health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Florida 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.
Florida 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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