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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-2890

2. Registrant Information.

Registrant Reference Number: 2008-11

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

Address: 100 Milverton Drive, 5th floor

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.

25-JUL-08

5. Location of incident.

Country: UNITED STATES

Prov / State: MISSOURI

6. Date incident was first observed.

25-JUL-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. 23713      PMRA Submission No.       EPA Registration No.

Product Name: ARSENAL HERBICIDE

  • Active Ingredient(s)
    • IMAZAPYR
      • Guarantee/concentration 53.1 %

7. b) Type of formulation.

Other (specify)

applicators concentrate

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 III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cow / Vache

3. Breed

unspecified dairy

4. Number of animals affected

42

5. Sex

Female

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

  • Reproductive System
    • Symptom - Other
    • Specify - agalactia
  • Gastrointestinal System
    • Symptom - Weight loss
  • Respiratory System
    • Symptom - Respiratory distress
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

Yes

14. a) Was the animal hospitalized?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Died

16. How was the animal exposed?

Other / Autre

specify The owner stated that a company dumped large amounts of TVC herbicides, including Arsenal very close to her field. She thought that her dairy cows got exposed to the chemical somehow and they started to act sick.

17. Provide any additional details about the incident

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

The owner stated that a company dumped large amounts of TVC herbicides, including Arsenal very close to her field. She thought that her dairy cows got exposed to the chemical somehow and they started to act sick.Some of the cows died, some of them developed respiratory symptoms before death, low milk production, underweight calves.


To be determined by Registrant

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

Death

19. Provide supplemental information here

Because the amount was unknown consistent, the patient was considered to be at unknown risk of developing signs. Note: the signs and time of exposure are poorly compatible with the products.