Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-4634

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: L5M 2J4

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

Environment

4. Date registrant was first informed of the incident.

15-JUN-07

5. Location of incident.

Country: CANADA

Prov / State: MANITOBA

6. Date incident was first observed.

Unknown

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. 21252      PMRA Submission No.       EPA Registration No.

Product Name: Karmex XP

• Active Ingredient(s)
  • DIURON

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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: Industrial / Industriel

Préciser le type: pond confined to property

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

To the best of my knowledge, applicator applied product, Karmex XP, to a pond that was contained to owner property. This was applied sometime in October 2006 and the pond water was used to irrigate 3 or 4 grave sites and some annual flower beds in the spring 2007. Product label states NOT to use pond water that has been treated with Karmex for one year after application. Treated turf and annual flowers were visually showing signs of stress when DuPont was notified. THIS USE PATTERN IS NOT RECOMMENDED BY DUPONT AND IS OUTLINED AS SUCH ON OUR PRODUCT LABEL.

To be determined by Registrant

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

No

Subform IV: Environment (includes plants insects and wildlife)

1. Type of organism affected

Herbaceous Plants / Plante herbacée

2. Common name(s)

grass/turf and annual flowers

3. Scientific name(s)

Unknown

4. Number of organisms affected

Unknown

5. Description of site where incident was observed

Fresh water

Terrestrial

Other

Salt Water

6. Check all symptoms that apply

Visible injury ( eg. chlorosis, necrosis, bleaching)

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

It is not yet known if Karmex was the cause for the injury.

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

Application

N/A

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

1

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?

Unknown

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