Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2015-2230

2. Registrant Information.

Registrant Reference Number: x

Registrant Name (Full Legal Name no abbreviations): x

Address: xx

City: x

Country: 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.

25-JUL-14

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. 24984      PMRA Submission No.       EPA Registration No.

Product Name: Matador 120EC

• Active Ingredient(s)
  • LAMBDA-CYHALOTHRIN

---

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

Product Name: Bravo

• Active Ingredient(s)
  • CHLOROTHALONIL

---

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

Product Name: Thionex

• Active Ingredient(s)
  • ENDOSULFAN

---

7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

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

Site: Agricultural-Outdoor/Agricole-extérieur

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

half of crops are treated conventionally and half use more "natural" treatments (ie. Seaweed) as a trial. - always sprays at 10pm to protect bees - matador and Brovo sprayed previous week, matador July 30, 2014 (last night) -Thionex on strawberries sat June 26/14 at night. Information on crops located near the beeyards: The crops; melons, corn, cabbage, cucurbits and stawberries were west and south west from the beeyard. Temp pollination yard is located on a produce farm with a large variety of crops. Field & greenhouse produce are grown. Land slopes towards hives. Hives are a long a forested treeline w/ a creek nearby. Puddles form in front of hives in lowest spot.

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)

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

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

There were a total of 26 colonies in the bee yard. There were 26 affected colonies. Nothing out of the ordinary for pests in the past year. On 2014-07-03, Mite wipes was applied 1 round to the hives to treat. Formic acid and oxalic acid was applied to hives in Nov. Bees were Actively foraging when incident occurred; actively foraging when questionnaire being filled out. There were more than 100 dead bees observed in front of each hive thousands in puddle near melon field. Some hives had loud buzzing when opened (queenless?). Eggs and larvae observed, no brood symptoms observed. Queen symptoms included failure of colony to re-queen on its own, failure of purchased queen to establish. Additionally, Most hives had no observable queen issues (she was laying). Some requeening occurred throughout the summer. VERY low population of bees -> lost foragers? -> Break in laying 2+ weeks ago (could not determine). The weather at the time of the incident was sunny> Wind blows towards hives from crops (confirmed with grower). temperature was 25 C). Heavy rain week of report. Beekeeper is unsure if this is neonic seed treatment coming through enviroment or a spray issue caused the incident. Bees are flying but not as much as they should be for warm, sunny day.

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?

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

11. a) Were environmental samples collected and analysed?

Yes

To be determined by Registrant

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

Minor

13. Please provide supplemental information here