Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-4190

2. Registrant Information.

Registrant Reference Number: Prosar case 1-16367134

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

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.

07-JUL-08

5. Location of incident.

Country: CANADA

Prov / State: SASKATCHEWAN

6. Date incident was first observed.

07-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. 26489      PMRA Submission No.       EPA Registration No.

Product Name: Control Pet Care System One Spot for Dogs and Puppies 14 kg and Under

• Active Ingredient(s)
  • (S)-METHOPRENE
  • PERMETHRIN

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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: 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 on 7/6/08. The product is designed to be used on dogs, not cats.

To be determined by Registrant

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

No

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

Female

6. Age (provide a range if necessary )

4

7. Weight (provide a range if necessary )

10

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

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

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 - Fasciculations
  • Symptom - Ataxia

12. How long did the symptoms last?

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

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

Yes

14. a) Was the animal hospitalized?

Yes

14. b) How long was the animal hospitalized?

1

Day(s) / Jour(s)

15. Outcome of the incident

Fully Recovered / Complètement rétabli

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

1-16367134: The reporter called on 7/7/08 to report the accidental application of a canine flea and tick product containing the active ingredients Permethrin and Methoprene to her 4 year old female cat the previous evening. According to the reporter, the cat had developed symptoms of twitching and ataxia about 16 hrs after product application. The reporter had tried wiping down the application site with a cloth but the symptoms had persisted. The reporter had planned on taking the cat into a veterinarian later in the day on 7/7. A recommendation was made to bathe the cat in warm water with a non-insecticidal shampoo for about 20 minutes, and to take the cat into the veterinarian sooner than the scheduled appointment if bathing did not alleviate the symptoms. A follow-up call revealed that the cat had spent the day at the veterinary clinic and her symptoms had resolved.

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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