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Snohomish County, Washington: environmental and disease records
Cancer mortality in Snohomish County is 148.2 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Bladder deaths at 1.2 times the U.S. rate and Liver & bile duct deaths at 1.1 times the U.S. rate. Federal databases place 1,805 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (846), Gas station (mapped facility) (237), Auto repair or body shop (mapped facility) (160). 2 correctional facilities operate in the county. 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: 48.0382, -121.7034.
How this county ranks in Washington
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 | Measure | County rate | U.S. rate | Times U.S. | 95% interval | Years |
|---|---|---|---|---|---|---|
| Melanoma of the skin | New cases | 31.9 | 23.8 | 1.34xSignificant | 30.2 to 33.6 | 2019-2023 |
| Childhood cancer (under 15) | Deaths | 2.3 | 1.9 | 1.21x | 1.4 to 3.7 | 2020-2024 |
| Thyroid | Deaths | 0.6 | 0.5 | 1.2x | 0.4 to 0.9 | 2020-2024 |
| Bladder | Deaths | 4.9 | 4.1 | 1.2xSignificant | 4.2 to 5.6 | 2020-2024 |
| Leukemia | New cases | 17.2 | 14.5 | 1.19xSignificant | 15.9 to 18.5 | 2019-2023 |
| Non-Hodgkin lymphoma | Deaths | 5.5 | 4.8 | 1.15x | 4.8 to 6.2 | 2020-2024 |
| Bladder | New cases | 21.3 | 18.7 | 1.14xSignificant | 19.9 to 22.7 | 2019-2023 |
| Liver & bile duct | Deaths | 7.4 | 6.6 | 1.12xSignificant | 6.7 to 8.3 | 2020-2024 |
| Stomach | New cases | 7.3 | 6.6 | 1.11x | 6.5 to 8.1 | 2019-2023 |
| Liver & bile duct | New cases | 9.6 | 8.7 | 1.1xSignificant | 8.8 to 10.6 | 2019-2023 |
| Melanoma of the skin | Deaths | 2.2 | 2 | 1.1x | 1.8 to 2.7 | 2020-2024 |
| Brain & nervous system | New cases | 6.8 | 6.2 | 1.1x | 6 to 7.6 | 2019-2023 |
| Thyroid | New cases | 14.1 | 13 | 1.08x | 13 to 15.3 | 2019-2023 |
| Non-Hodgkin lymphoma | New cases | 19.8 | 18.5 | 1.07xSignificant | 18.6 to 21.2 | 2019-2023 |
| Brain & nervous system | Deaths | 4.7 | 4.4 | 1.07x | 4.1 to 5.3 | 2020-2024 |
| All cancer | New cases | 478.2 | 453.4 | 1.05xSignificant | 471.8 to 484.7 | 2019-2023 |
| Esophagus | Deaths | 3.9 | 3.7 | 1.05x | 3.3 to 4.5 | 2020-2024 |
| Leukemia | Deaths | 6 | 5.7 | 1.05x | 5.3 to 6.8 | 2020-2024 |
| Esophagus | New cases | 4.8 | 4.6 | 1.04x | 4.2 to 5.5 | 2019-2023 |
| All cancer | Deaths | 148.2 | 143.2 | 1.03xSignificant | 144.6 to 151.8 | 2020-2024 |
| Lung & bronchus | New cases | 51.2 | 51.8 | 0.99x | 49.1 to 53.4 | 2019-2023 |
| Pancreas | New cases | 13.7 | 13.9 | 0.99x | 12.7 to 14.9 | 2019-2023 |
| Childhood cancer (under 15) | New cases | 16.1 | 16.4 | 0.98x | 13.4 to 19.2 | 2019-2023 |
| Stomach | Deaths | 2.6 | 2.7 | 0.96x | 2.2 to 3.2 | 2020-2024 |
| Lung & bronchus | Deaths | 29 | 30.2 | 0.96x | 27.5 to 30.7 | 2020-2024 |
| Pancreas | Deaths | 10.7 | 11.3 | 0.95x | 9.7 to 11.7 | 2020-2024 |
| Kidney & renal pelvis | Deaths | 3 | 3.4 | 0.88x | 2.5 to 3.5 | 2020-2024 |
| Kidney & renal pelvis | New cases | 14.6 | 17.9 | 0.82x | 13.5 to 15.7 | 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.
| Measure | County | U.S. median | Difference | Unit |
|---|---|---|---|---|
| Premature death | 6,059.2 | 9,842.6 | -38% | years of life lost before age 75 per 100,000 |
| Life expectancy | 79.3 | 75.3 | +5% | years |
| Child mortality | 35.5 | 59.8 | -41% | deaths under age 18 per 100,000 |
| Infant mortality | 3.6 | 6.2 | -42% | deaths under age 1 per 1,000 live births |
| Injury deaths | 75.9 | 96.9 | -22% | deaths per 100,000 |
| Drug overdose deaths | 29.4 | 28.6 | +3% | 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.
- Formaldehyde17.01 per million
- Naphthalene4.17 per million
- Carbon Tetrachloride3.01 per million
- Acetaldehyde2.88 per million
EPA Air Quality Index 2025
Monitored on 365 days: 248 good, 1 unhealthy for sensitive groups or worse. Median AQI 41, peak 125.
Regulated facilities, sites and hazards by type
1,805 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.
- NPDES wastewater discharge permit846
- Gas station (mapped facility)237
- Auto repair or body shop (mapped facility)160
- Rail grade crossing137
- Small hazardous waste generator90
- Air permit holder (minor source)89
- Large hazardous waste generator60
- Dry cleaner (mapped facility)30
- Toxic chemical release facility (TRI)30
- Brownfield property25
- TRI reporting facility25
- Heliport11
- Wastewater plant (mapped facility)11
- Public airport9
- Major air pollution source8
- Hazardous waste transporter8
- Scrapyard (mapped facility)8
- EPA air quality monitor4
- Large greenhouse gas emitter4
- Landfill (mapped facility)4
- Commercial airport2
- Correctional facility (prison or jail)2
- Hydroelectric plant2
- Battery storage plant1
- Biomass power plant1
- 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.
- Severity 10
Boeing Everett, Everett
TRI reporting facility. Penalties $8,575.
EPA FRS registry ID 110017406788 (U.S. EPA ECHO) Agency record
- Severity 9
C And D Zodiac Corp Marysville, Marysville
TRI reporting facility.
EPA FRS registry ID 110000490184 (U.S. EPA ECHO) Agency record
- Severity 8.8
Us Naval Station Everett, Everett
Toxic chemical release facility (TRI). Chemicals: Lead, Perfluorooctanoic acid. Reports carcinogens. Reports PFAS. 4,736 lbs released over 5 years.
TRI facility ID 9820WSNVLS2WMAR (U.S. EPA Toxics Release Inventory)
- Severity 8.7
Boeing Commercial Airplanes - Everett, Everett
Toxic chemical release facility (TRI). Chemicals: Methyl isobutyl ketone, Toluene, Certain glycol ethers, N-Methyl-2-pyrrolidone and 4 more. Reports carcinogens. 327,257 lbs released over 5 years.
TRI facility ID 98203BNGCM3003W (U.S. EPA Toxics Release Inventory)
- Severity 8.4
Cpp Casting Line, Everett
TRI reporting facility.
EPA FRS registry ID 110000489891 (U.S. EPA ECHO) Agency record
- Severity 8.4
Fluid Motion Llc, Arlington
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 111,966 lbs released over 5 years.
TRI facility ID 9822WFLDMT17939 (U.S. EPA Toxics Release Inventory)
- Severity 8.3
C&D Zodiac Inc, Marysville
Toxic chemical release facility (TRI). Chemicals: Phenol, Methanol, Formaldehyde, Tetrabromobisphenol A. Reports carcinogens. 85,603 lbs released over 5 years.
TRI facility ID 98270RCLLN12806 (U.S. EPA Toxics Release Inventory)
- Severity 8.1
Romac Industries, Sultan
TRI reporting facility.
EPA FRS registry ID 110042260665 (U.S. EPA ECHO) Agency record
- Severity 8
Fluid Motion Llc, Monroe
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 32,948 lbs released over 5 years.
TRI facility ID 98272GLCRB17341 (U.S. EPA Toxics Release Inventory)
- Severity 8
Ranger Tugs Monroe R, Monroe
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 31,458 lbs released over 5 years.
TRI facility ID 98272LYMPCPOBOX (U.S. EPA Toxics Release Inventory)
- Severity 7.9
Sr Smith Llc, Arlington
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 26,772 lbs released over 5 years.
TRI facility ID 98223CMPST24569 (U.S. EPA Toxics Release Inventory)
- Severity 7.8
Abw Technologies, Arlington
Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), n-Butyl alcohol, Ethylbenzene. Reports carcinogens. 19,048 lbs released over 5 years.
TRI facility ID 9822WBWTCH67219 (U.S. EPA Toxics Release Inventory)
- Severity 7.7
Achilles Usa Inc, Everett
Toxic chemical release facility (TRI). Chemicals: Di(2-ethylhexyl) phthalate, Phenol, Antimony compounds, Lead compounds and 4 more. Reports carcinogens. 16,440 lbs released over 5 years.
TRI facility ID 98203KHKKS14078 (U.S. EPA Toxics Release Inventory)
- Severity 7.5
Cepheid - Bothell, Bothell
Toxic chemical release facility (TRI). Chemicals: Acetonitrile, Dichloromethane, Toluene. Reports carcinogens. 9,299 lbs released over 5 years.
TRI facility ID 9802WCPHDB16312 (U.S. EPA Toxics Release Inventory)
- Severity 7.5
Lynnwood City Wastewater Treatment Plan, Edmonds
Major air pollution source. Penalties $557,609.
EPA FRS registry ID 110010409593 (U.S. EPA ECHO) Agency record
- Severity 7.5
Boeing Everett, Everett
Major air pollution source. Penalties $8,575.
EPA FRS registry ID 110017406788 (U.S. EPA ECHO) Agency record
- Severity 7.3
Romac Industries Bothell, Bothell
TRI reporting facility.
EPA FRS registry ID 110005388106 (U.S. EPA ECHO) Agency record
- Severity 7
Granite Construction Co, Everett
Toxic chemical release facility (TRI). Chemicals: Polycyclic aromatic compounds, Benzo[g,h,i]perylene. Reports carcinogens. 1,883 lbs released over 5 years.
TRI facility ID 9820WGRNTC2111R (U.S. EPA Toxics Release Inventory)
- Severity 7
Seacast Inc, Marysville
TRI reporting facility.
EPA FRS registry ID 110005343084 (U.S. EPA ECHO) Agency record
- Severity 7
Lynnwood City Wastewater Treatment Plan, Edmonds
NPDES wastewater discharge permit. Penalties $557,609.
EPA FRS registry ID 110010409593 (U.S. EPA ECHO) Agency record
- Severity 7
Boeing Everett, Everett
Large hazardous waste generator. Penalties $8,575.
EPA FRS registry ID 110017406788 (U.S. EPA ECHO) Agency record
- Severity 7
Boeing Everett, Everett
NPDES wastewater discharge permit. Penalties $8,575.
EPA FRS registry ID 110017406788 (U.S. EPA ECHO) Agency record
- Severity 6.7
Romac Industries, Sultan
Toxic chemical release facility (TRI). Chemicals: Lead, Nickel, Diisocyanates, Manganese and 3 more. Reports carcinogens. 740 lbs released over 5 years.
TRI facility ID 9829WRMCND125SS (U.S. EPA Toxics Release Inventory)
- Severity 6.5
Edmonds Stp, Edmonds
Major air pollution source. Penalties $750.
EPA FRS registry ID 110000563220 (U.S. EPA ECHO) Agency record
- Severity 6.5
Hampton Lumber Mill Darrington, Darrington
Major air pollution source.
EPA FRS registry ID 110006459616 (U.S. EPA ECHO) Agency record
Correctional facilities
Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.
Correctional Industries, Monroe
- EPA FRS registry ID
- 110005306436
- Wastewater permit
- None on record
Wa Doc Indian Ridge Corrections Center, Arlington
- EPA FRS registry ID
- 110045574437
- Wastewater permit
- None on record
Discovery / public records
Records to request for Snohomish County
Washington 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 Snohomish County, and their findings.
Washington vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Washington health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Washington 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.
Washington 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.