Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2017-2799

2. Registrant Information.

Registrant Reference Number: ProPharma Group case #: 1-48020492

Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.

Address: 2000 Argentia Road, Plaza 2, Suite 300

City: Mississauga

Prov / State: Ontario

Country: Canada

Postal Code: L5N1V8

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

Domestic Animal

4. Date registrant was first informed of the incident.

30-APR-17

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

30-APR-17

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)

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PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2217-991-239

Product Name: ORTHO WEED B GON PLUS CRABGRASS CONTROL READY-TO-USE2

• Active Ingredient(s)
  • 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
  • DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
  • QUINCLORAC

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7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Res. - Out Home / Rés - à l'ext.maison

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 III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Unknown

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

14

7. Weight (provide a range if necessary )

8.5

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

• Gastrointestinal System
  • Symptom - Diarrhea

• General
  • Symptom - Hyperactivity

12. How long did the symptoms last?

Unknown / Inconnu

13. Was medical treatment provided? Provide details in question 17.

Unknown

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

16. How was the animal exposed?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

1-48020492 - The reporter, a pet owner, indicates his dog was exposed to a pesticide containing the active ingredients dicamba (present as acid, amine salt, ester, or sodium salt), 2,4-D (present as amine salts: dimethylamine salt, diethanolamine salt, or other amine salts), and quinclorac. The product was purchased in the USA and used in Canada. Two days before the day of initial contact with the registrant, the reporter indicated he applied the product to his lawn. One day before the day of initial contact, the reporters 14-year-old, 8.5-pound, female dog of unknown breed was allowed access to the treated lawn. On the day of initial contact with the registrant, the reporter indicated the dog was hyperactive and developed diarrhea. The reporter was advised the product has a low level of toxicity and minor gastrointestinal upset might be expected. It the symptoms persist beyond 24 hours, veterinary evaluation should be sought. No follow up was attempted. No additional information is available.

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To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification

Minor

19. Provide supplemental information here