Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-3160

2. Registrant Information.

Registrant Reference Number: Prosar case 1-16395268

Registrant Name (Full Legal Name no abbreviations): Syngenta Crop Protection Canada, Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

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

Human

4. Date registrant was first informed of the incident.

14-JUL-08

5. Location of incident.

Country: CANADA

Prov / State: SASKATCHEWAN

6. Date incident was first observed.

11-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)

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PMRA Registration No. 26153      PMRA Submission No.       EPA Registration No.

Product Name: Quadris Flowable Fungicide

• Active Ingredient(s)
  • AZOXYSTROBIN

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PMRA Registration No. 28328      PMRA Submission No.       EPA Registration No.

Product Name: Quilt

• Active Ingredient(s)
  • AZOXYSTROBIN
  • PROPICONAZOLE

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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: 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).

The two products were used by someone else near the reporter's yard about 5 days prior to the call.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?

Unknown

Subform II: Human Incident Report (A separate form for each person affected)

1. Source of Report.

Data Subject

2. Demographic information of data subject

Sex: Male

Age: >19 <=64 yrs / >19 <=64 ans

3. List all symptoms, using the selections below.

System

• Respiratory System
  • Symptom - Coughing
  • Symptom - Nasal congestion
  • Symptom - Sneezing

4. How long did the symptoms last?

Unknown / Inconnu

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

Unknown

6. a) Was the person hospitalized?

Unknown

6. b) For how long?

7. Exposure scenario

Non-occupational

8. How did exposure occur? (Select all that apply)

Drift from the application site

9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)

10. Route(s) of exposure.

Respiratory

11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

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

13. Provide any additional details about the incident (eg. description of the frequency and severity of the symptoms, type of medical treatment, results from medical tests, outcome of the incident, amount of pesticide exposed to, etc.)

1-16395268: The reporter called on 7/14/08 to report a possible reaction to 2 products containing the active ingredients Azoxystrobin and Azoxystrobin plus Propiconazole. According to the reporter, the 2 products were used by someone else near his yard about 5 days prior to the call. The reporter stated that about 2-3 days after the product had been applied, he had developed a cough, nasal congestion and sneezing. He suspected he had inhaled the products as they drifted from the application site. The reporter had tried to use a nasal decongestant but it had not helped. A recommendation was made to see medical attention if the symptoms persisted or worsened as the symptoms would be neither typical not expected given the described exposure.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.

The symptoms described above are not typical or expected given the described exposure.