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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-1883

2. Registrant Information.

Registrant Reference Number: 2008-2

Registrant Name (Full Legal Name no abbreviations): BASF Canada

Address: 100 Milverton

City: mississauga

Prov / State: on

Country: canada

Postal Code: l5r4h1

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

Domestic Animal

4. Date registrant was first informed of the incident.

23-MAY-08

5. Location of incident.

Country: UNITED STATES

Prov / State: MISSOURI

6. Date incident was first observed.

23-MAY-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.       PMRA Submission No.       EPA Registration No.

Product Name:

  • Active Ingredient(s)
    • PYRACLOSTROBIN
      • Guarantee/concentration 23.6 %

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: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: wheat field

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

Applied to wheat field 5/20...owners report calves got into field later, some had died-inquired if related through vet

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

Cow / Vache

3. Breed

unknown calves

4. Number of animals affected

3

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

Unknown / Inconnu

11. List all symptoms

System

  • General
    • Symptom - Death

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

Died

16. How was the animal exposed?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

Cows and calves eat off a field, but sometimes calves will get out of field and go to neighbouring field and eat the wheat. 10-15 cows with calves currently.Wheat treated on 5/20 with the fungicide. The calves will sometimes jump the fence and get into the wheat and owner is not sure if this may have occurred when the field was treated. Two calves died on 22nd, one died on 23rd. No necropsy performed. She was not sure if they were showing any signs beforehand either. She thinks they were shaking a little bit and then they just fell over and died.


To be determined by Registrant

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

Death

19. Provide supplemental information here

Unknown consistent,unknown risk...this substance was considered to have low likelihood of causing the clinical situation.