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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-1247

2. Registrant Information.

Registrant Name (Full Legal Name no abbreviations): Dow Chemical Canada Inc.

Address: 1425 Vidal Street South, B114

City: Sarnia

Prov / State: ON

Country: Canada

Postal Code: N7T 8C6

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

Packaging Failure

4. Date registrant was first informed of the incident.

10-MAR-08

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

07-MAR-08

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. 20715      PMRA Submission No.       EPA Registration No.

Product Name: AQUCAR¿ 545 Water Treatment Microbiocide

  • Active Ingredient(s)
    • GLUTARALDEHYDE

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?

Other / Autre

specify 5 gallon pail

2. Did packaging failure occur during?

Storage

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.

Warehouse received 36 pails of AQUCAR 545 Water Treatment Microbiocide. At the time of pickup, there were no leakage or issues with the pails. There have been no prior issues with leaking pails for the site. As the carrier states, there was no damage at the time of delivery. While pulling an order. it was discovered that one of the pails had a pin hole in the bottom of the pail. There was a small leak of glutaraldehyde that spilled, but nothing requiring a lot of clean up. There are no reports of anyone being exposed at the warehouse.

For Registrant use only

5. Provide supplemental information here.