Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2009-2810
2. Registrant Information.
Registrant Reference Number: Prosar 1-19308928
Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.
Address: 2000 Argentia Road, Plaza 5, Suite 101
City: Mississauga
Prov / State: Ontario
Country: Canada
Postal Code: L5N2R7
3. Select the appropriate subform(s) for the incident.
Environment
4. Date registrant was first informed of the incident.
22-JUN-09
5. Location of incident.
Country: CANADA
Prov / State: ONTARIO
6. Date incident was first observed.
22-JUN-09
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)
PMRA Registration No. 28377
PMRA Submission No.
EPA Registration No.
Product Name: Ecosense Insecticidal Soap Concentrate (Scotts)
- Active Ingredient(s)
- POTASSIUM SALTS OF FATTY ACIDS
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: Agricultural-Outdoor/Agricole-extérieur
Préciser le type: Poppies
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 100 poppy plants on 06/22/2009.
To be determined by Registrant
12. In your opinion, was the product used according to the label instructions?
Unknown
Subform IV: Environment (includes plants insects and wildlife)
1. Type of organism affected
Herbaceous Plants / Plante herbacée
2. Common name(s)
Poppy
3. Scientific name(s)
Unknown
4. Number of organisms affected
100
5. Description of site where incident was observed
Fresh water
Terrestrial
Agricultural
Salt Water
6. Check all symptoms that apply
Abnormal leaf discoloration
7. Describe symptoms and outcome (died, recovered, etc.).
1-19308928: A reporter called on 06/22/2009 to report the use of an insecticidal soap containing the active ingredient Potassium Salts of Fatty Acids. The product was applied to 100 poppy plants on 06/22/2009. At the time of the report, the leaves of all plants were turning yellow. No further information was obtained.
8. a) Was the incident a result of (select all that apply)
Application
N/A
8. b) i) How many times has the product been applied this year?
Unknown
8. b) ii) What was the date of the last application?
Unknown
9. Did it rain
9. a) During application?
Unknown
9. b) Up to 3 days after application?
Unknown
10. a) Was there a buffer zone?
Unknown
10. b) What type?
10. c) What was the size of the buffer zone?
11. a) Were environmental samples collected and analysed?
Unknown
To be determined by Registrant
12. Severity classification (if there is more than one possible classification, select the most severe)
Moderate
13. Please provide supplemental information here