Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-4667

2. Registrant Information.

Registrant Reference Number: 1996043

Registrant Name (Full Legal Name no abbreviations): Sure-Gro Inc.

Address: 150 Savannah Oaks Dr.

City: Brantford

Prov / State: Ontario

Country: Canada

Postal Code: N3V 1E7

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

Domestic Animal

4. Date registrant was first informed of the incident.

13-AUG-08

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

18-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. 19228      PMRA Submission No.       EPA Registration No.

Product Name: Wilson Earwig Destroyer

• Active Ingredient(s)
  • CARBARYL

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PMRA Registration No. 26698      PMRA Submission No.       EPA Registration No.

Product Name: Wilson GrubOut Ant and Grub Killer Concentrate

• Active Ingredient(s)
  • CARBARYL

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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).

unknown

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 Longhair

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

13

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>1 wk <=1 mo / > 1 sem < = 1 mois

11. List all symptoms

System

• Nervous and Muscular Systems
  • Symptom - Paralysis

12. How long did the symptoms last?

Unknown / Inconnu

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

Unknown

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

Caller stating that he had used the products 3 weeks ago all over the foundation of his house as per label directions. The product is not working. Last Thursday July 10, 2008 caller noticed that his cats left hind leg seemed paralyzed. He fell down a flight of stairs due to his problem. Caller wants to know if it could be caused by the products. He is doing better at this time but still favoring his left leg. He thinks that the cat could be ingesting the exposed grass. Caller does not have a job right know so he would like to know if there is any way he could get help with the vet bill if he has to take the cat in. Caller was advised to call vet. If symptoms persist or worsen he will need to take the cat in. Products can cause nervous system symptoms in acute effects of overexposure.

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To be determined by Registrant

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

Major

19. Provide supplemental information here

Carbaryl is a chemical in the carbamate family which does effect the nervous system, however it is metabolized rapidly and excreted in the urine. It does not have a 3 week residual life span.