Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-3108
2. Registrant Information.
Registrant Reference Number: Prosar case 1-16395943
Registrant Name (Full Legal Name no abbreviations): The Scotts Company LLC
Address: 14111 Scottslawn Road
City: Marysville
Prov / State: Ohio
Country: USA
Postal Code: 43041
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
23-JUN-08
5. Location of incident.
Country: UNITED STATES
Prov / State: MINNESOTA
6. Date incident was first observed.
21-JUN-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. 538-282
Product Name: Turf Builder Winterguard Plus 2 Weed Control 26-2-12 Water Smart Formu
- Active Ingredient(s)
- 2,4-D (PRESENT AS ACID)
- Guarantee/concentration 1.21 %
- MECOPROP P-ISOMER PRESENT AS DIMETHYLAMINE SALT
- Guarantee/concentration .61 %
7. b) Type of formulation.
Granular
Application Information
8. Product was applied?
Unknown
9. Application Rate.
10. Site pesticide was applied to (select all that apply).
Site: Res. - Out Home / Rés - à l'ext.maison
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
Cat / Chat
3. Breed
Unknown
4. Number of animals affected
1
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
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
Died
16. How was the animal exposed?
Other / Autre
specify No witnessed exposure. The reporter found the cat dead in a shed.
17. Provide any additional details about the incident
(eg. description of the frequency and severity of the symptoms
1-16395943: The reporter called on 6/23/08 to inquire about the safety profile of a product containing the active ingredients Mecoprop-P and 2,4, D. According to the reporter, she had found her cat dead in a shed. She did not think it was related to the product, as the cat had died sooner than 2 hours after it could have gotten into the product. No additional information is available.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
19. Provide supplemental information here