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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-5995
2. Registrant Information.
Registrant Reference Number: Prosar 1-16967351
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.
25-NOV-085. Location of incident.
Country: UNITED STATES
Prov / State: ARIZONA
6. Date incident was first observed.
24-NOV-08Product 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)PMRA Registration No. PMRA Submission No. EPA Registration No. 100-1066
Product Name: Demand CS
- Active Ingredient(s)
- LAMBDA-CYHALOTHRIN
- Guarantee/concentration 9.7 %
- LAMBDA-CYHALOTHRIN
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: 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 product was applied to a nearby area on 11/24/2008. Details of product application are 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
Fish / Poisson
3. Breed
Koi
4. Number of animals affected
3
5. Sex
Unknown
6. Age (provide a range if necessary )
Unknown
7. Weight (provide a range if necessary )
2
lbs
8. Route(s) of exposure
Unknown
9. What was the length of exposure?
Unknown / Inconnu
10. Time between exposure and onset of symptoms
Unknown / Inconnu
11. List all symptoms
System
- Respiratory System
- Symptom -
- Specify - "Coming to the surface of the water, looking for air"
- General
- Symptom - Death
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?
Spray drift / Dérive de pulvérisation
17. Provide any additional details about the incident
(eg. description of the frequency and severity of the symptoms
1-16967351: A reporter called on 11/25/2008 to report the exposure of some Koi fish to an insecticide containing the active ingredient Lambda-Cyhalothrin. According to the reporter, the product was applied in a nearby area (details of product application unknown) on 11/24/2008. An unknown amount of product drifted into the fish pond. An unknown time following product exposure on 11/24/2008, the fish in the fish pond were coming to the surface of the water looking for air. Three fish died on 11/24/2008. The reporter did a 75% water change. At the time of the report, the rest of the fish (unknown number) had recovered and were asymptomatic. The reporter inquired about the toxicity of the product to fish and how long it would remain active in the water. The reporter was advised that the active ingredient in the product is very toxic to aquatic organisms. The reporter was also advised that the active ingredient does not persist in soil or water. The product sinks in water after 24 hours. A recommendation was made to contact technical support for further questions regarding product persistence in water. A recommendation was also made to contact a fish expert for other questions regarding care of the remaining fish. No further information was obtained.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
