Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-7269

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-15283948

Registrant Name (Full Legal Name no abbreviations): Syngenta Crop Protection

Address: 410 Swing Road

City: Greensboro

Prov / State: North Carolina

Country: USA

Postal Code: 27419

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

Domestic Animal

4. Date registrant was first informed of the incident.

05-SEP-07

5. Location of incident.

Country: UNITED STATES

Prov / State: COLORADO

6. Date incident was first observed.

30-AUG-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)

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

Product Name: Reglone - Non Specific

• Active Ingredient(s)
  • DIQUAT
    • Unknown

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7. b) Type of formulation.

Liquid

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: Potato Field

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

Aerial Application, No further details available.

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

Medical Professional

2. Type of animal affected

Other / Autre

specify Rabbit

3. Breed

Unknown

4. Number of animals affected

20

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>24 hrs <=3 days / >24 h <=3 jours

11. List all symptoms

System

• General
  • Symptom - Death

• Gastrointestinal System
  • Symptom - Diarrhea

• Nervous and Muscular Systems
  • Symptom - Seizure

12. How long did the symptoms last?

Persisted until death

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

No

14. a) Was the animal hospitalized?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Not recovered / Non rétabli

16. How was the animal exposed?

Other / Autre

specify Unknown Exposure Route

17. Provide any additional details about the incident

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

History: Caller is a veterinarian calling on behalf of a client who raises various species of rabbits. On 8/30 or 8/31, this client reports that there was an aerial spray of product in unknown dilution in potato fields close to her home. Approx 24-48 hours post-spray about 20 of her total of approx 85 rabbits died. All appeared fine until very shortly prior to death, when diarrhea, and ¿CNS things" that resembled seizures occurred. Could accidental overspray of this product cause such an event? Assessment: This is neither typical nor expected when product is used in the usual manner. Product's principal toxic manifestation is renal failure, though higher doses are required for symptoms to occur.

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To be determined by Registrant

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

Death

19. Provide supplemental information here

No evidence that direct exposure occurred. Based on the assessment, it is highly unlikely that drift had caused the death of 20 out of 85 rabbits.