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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2007-4632
2. Registrant Information.
Registrant Name (Full Legal Name no abbreviations): E.I. du Pont Canada Company
Address: P.O. Box 2300, Streetsville
City: Mississauga, ON
Prov / State: Ontario
Country: Canada
Postal Code: N5A 7X8
3. Select the appropriate subform(s) for the incident.
Packaging Failure
4. Date registrant was first informed of the incident.
30-MAY-07
5. Location of incident.
Country: CANADA
Prov / State: ONTARIO
6. Date incident was first observed.
30-MAY-07
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: ELIM
PMRA Registration No.
PMRA Submission No.
EPA Registration No.
Product Name: DUAL
- Active Ingredient(s)
- S-METOLACHLOR AND R-ENANTIOMER
PMRA Registration No.
PMRA Submission No.
EPA Registration No.
Product Name: BANVEL
- Active Ingredient(s)
- DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
7. b) Type of formulation.
Application Information
8. Product was applied?
Unknown
9. Application Rate.
10. Site pesticide was applied to (select all that apply).
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 VI: Packaging Failure
1. What is the type of packaging that failed?
Jug-plastic / Cruche-plastique
2. Did packaging failure occur during?
Transportation
3. Did packaging failure result in?
potential exposure
4. Describe how the packaging failed and the surrounding circumstances, including a description of the potential injury or exposure.
Dupont sales rep was delivering some research permit product to a retail location and noticed the dual was leaking from the jug (inside the box). The box the jug was in was wet. There was potential exposure but no injury and retailer was able to use the product.
For Registrant use only
5. Provide supplemental information here.