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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-3670

2. Registrant Information.

Registrant Reference Number: x

Registrant Name (Full Legal Name no abbreviations): x

Address: x

City: x

Prov / State: x

Country: x

Postal Code: X

3. Select the appropriate subform(s) for the incident.

Environment

4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

20-AUG-13

Product Description

7. a) Provide the active ingredient and, if available, the registration number and product name (include all tank mixes). If the product is not registered provide a submission number.

Active(s)

PMRA Registration No.       PMRA Submission No.       EPA Registration No.

Product Name: unknown

  • Active Ingredient(s)
    • CLOTHIANIDIN
    • THIAMETHOXAM

7. b) Type of formulation.

Application Information

8. Product was applied?

Unknown

9. Application Rate.

Unknown

10. Site pesticide was applied to (select all that apply).

Site: Unknown / Inconnu

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?

Unknown

Subform IV: Environment (includes plants insects and wildlife)

1. Type of organism affected

Terr. Invrtbrt-Honey Bee/Inv.Ter-Abeille

2. Common name(s)

honey bee

3. Scientific name(s)

Unknown

4. Number of organisms affected

Unknown

5. Description of site where incident was observed

Fresh water

Terrestrial

Agricultural

Salt Water

6. Check all symptoms that apply

Abnormal behavioural effects

Death

7. Describe symptoms and outcome (died, recovered, etc.).

There were a total of 28 colonies in the bee yard. There were 28 affected colonies. There were 0 dead colonies. The average number of dead bees per colony is unknown. Dead adult bees were observed outside the hive. Slow foraging, hives weak, field force low, brood patterns look good, but will soon fail. Adult bee symptoms included shaking/trembling/twitching, crawling and disoriented. No brood symptoms. Additionally, the brood is good now, but will it soon fail? Too early to tell. No queen symptoms observed. The queen was ok now.Samples of vegetation taken from soybeans from field E of yard had no detected active ingredients. Samples of vegetation taken from Solidayo canadensis (golden rod) from edge of soybean field had no detected active ingredients. Sample of dead bees taken from affected hive, hive #1, had positive detects for clothianidin and thiamethoxam. Samples of pollen taken from affected hive, pollen comb from hive #2, had no detected active ingredients. Samples of pollen taken from unaffected hive, pollen comb from hive #3 less affected, had no detected active ingredients. Samples of live bees taken from less affected hive, hive #5, had no detected active ingredients. Sample of dead bees taken from affected hive, hive #2 from herb farm yard, had positive detects for clothianidin and thiamethoxam. Samples of vegetation, wild carrots from edge of soybean field, had no detected active ingredients. Samples of vegetation, corn tassels from field planted ~100m NW of bee yard, had no detected active ingredients. The weather at the time of the incident was sunny, dry, not windy, 28C, normal humidity. Prior to the incident, there were an average of 10 light frames of bees although it should have been 20 light frames of bees, 4 - 8 frames of brood, and alarming low pollen, 1/2 frame, low honey, no pollen coming in. Additional food sources provided to the bees included sugar syrup. In 2012, the following treatments were applied to the hives: formic acid, amitraz. In 2013, the following treatments were applied to the hives: formic acid. Information on crops located near the beeyards: 50 ac of soybeans located near the affected bee hives. Also, bush, corn, pasture and hay were located near the affected bee yard. Beekeeper reporting large kill at one Yard with twitching dying bees. Other yards also have dead bees but one yard is experiencing fresh kill.

8. a) Was the incident a result of (select all that apply)

Unknown

8. b) i) How many times has the product been applied this year?

Unknown

8. b) ii) What was the date of the last application?

Unknown

9. Did it rain

9. a) During application?

Unknown

9. b) Up to 3 days after application?

Unknown

10. a) Was there a buffer zone?

Unknown

10. b) What type?

Aquatic

10. c) What was the size of the buffer zone?

11. a) Were environmental samples collected and analysed?

Unknown

To be determined by Registrant

12. Severity classification (if there is more than one possible classification, select the most severe)

13. Please provide supplemental information here