Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-4168

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-16516329

Registrant Name (Full Legal Name no abbreviations): The Hartz Mountain Company

Address: 400 Plaza Drive

City: Secaucus

Prov / State: New Jersey

Country: USA

Postal Code: 07094-3688

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

Domestic Animal

4. Date registrant was first informed of the incident.

12-AUG-08

5. Location of incident.

Country: UNITED STATES

Prov / State: PENNSYLVANIA

6. Date incident was first observed.

09-AUG-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.       PMRA Submission No.       EPA Registration No. 2596-147

Product Name: Control Pet Care System One Spot Flea Egg, Larvae Treatment Cat/Kitten

• Active Ingredient(s)
  • (S)-METHOPRENE
    • Guarantee/concentration 2.9 %

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7. b) Type of formulation.

Liquid

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Animal / Usage sur un animal domestique

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

The reporter applied the product to her cat at midnight on 8/8/2008

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

Domestic Shorthair

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

0.28

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Skin

9. What was the length of exposure?

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

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

• Nervous and Muscular Systems
  • Symptom - Bizarre behaviour
  • Symptom - Paralysis

• Renal System
  • Symptom - Lack of control of urination

• General
  • Symptom - Vocalizing
  • Symptom - Death

• Nervous and Muscular Systems
  • Symptom - Ataxia

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?

Treatment / Traitement

17. Provide any additional details about the incident

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

1-16516329: The reporter called on 8/12/2008, to report exposure of her cat to a flea, egg and larvae product with the active ingredient Methoprene. According to the reporter, she applied the product to her cat at Midnight on 8/8/2008. Twenty-four hours later she noticed that her cat had run into the corner and was facing the wall. 15 minutes later the reporter picked up the cat and noticed that he had urinated on himself and was paralyzed. The reporter cleaned up the cat and laid him on a heating pad in a basket. While in the basket the cat was ataxic and vocalized twice. By 4am on 8/9/2008 the cat had died.

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To be determined by Registrant

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

Death

19. Provide supplemental information here