Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-3177

2. Registrant Information.

Registrant Reference Number: Prosar case 1-16383379

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.

Domestic Animal

4. Date registrant was first informed of the incident.

10-JUL-08

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

10-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. 26271      PMRA Submission No.       EPA Registration No.

Product Name: Reward Aquatic Herbicide

• Active Ingredient(s)
  • DIQUAT

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7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

100

Other Units: over 400 Hectares

10. Site pesticide was applied to (select all that apply).

Site: Unknown / Inconnu

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

The product was used to treat a 40 acre 6 foot deep pond on 7/7/08. The product was applied diluted. The volume of product used was 100 Liters over 4 hectares.

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

Other

2. Type of animal affected

Dog / Chien

3. Breed

German Shephard

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

6

7. Weight (provide a range if necessary )

77.5

lbs

8. Route(s) of exposure

Skin

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>8 hrs <=24 hrs / > 8 h < = 24 h

11. List all symptoms

System

• Gastrointestinal System
  • Symptom - Vomiting
  • Symptom - Diarrhea

• General
  • Symptom - Dehydration

12. How long did the symptoms last?

Unknown / Inconnu

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

Yes

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

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

1-16383379: The reporter, a pest control operator, called on 7/10/08 to inquire about possible side effects from exposure to a diluted product containing the active ingredient Diquat Bromide. According to the reporter, the product had been used to treat a 6 foot deep pond on 7/7/08. The product had been applied diluted (volume of product used was 100 Liters over 4 hectares). A client¿s dog had then swum in the pond on 7/9/08 (53 hours post treatment), and had drunk some of the pond water. Early in the a.m. on 7/10, the dog had developed vomiting and diarrhea. He had been seen by a veterinarian, and had been reported to also have developed some mild dehydration. The veterinarian had run blood work, which had been normal. According to the reporter, the veterinarian suspected an E.Coli infection. The toxicology profile of the product was discussed including the fact that the dog probably had not consumed enough to cause toxic symptoms. A recommendation was made to rule out other causes (bacteria in the pond, etc.). A follow-up call by the reporter on 7/18 revealed that the Diquat level had measured 43 mcg/L 48 hr. post treatment, which was ¿ of the allowable level for drinking water to contain. The reporter believed the dog had recovered and that the veterinarian involved felt E. Coli was the cause of the dog's symptoms. The reporter inquired about the toxic potential for an 80 lb. dog ingesting Diquat at a dilution ratio of 43 mcg/Liter. A toxicological assessment was prepared and forwarded to the appropriate representative of the registrant.

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To be determined by Registrant

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

Moderate

19. Provide supplemental information here

This exposure was well below any level in a risk assessment. The product applied to the pond was well below drinking water guidelines. The symptoms described above are not likely as a result of the above incident.