Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-2880

2. Registrant Information.

Registrant Reference Number: Prosar 1-19230261

Registrant Name (Full Legal Name no abbreviations): The Scotts Company LLC

Address: 14111 Scottslawn Road

City: Marysville

Prov / State: Ohio

Country: USA

Postal Code: 43041

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

Domestic Animal

4. Date registrant was first informed of the incident.

20-JUL-09

5. Location of incident.

Country: UNITED STATES

Prov / State: CALIFORNIA

6. Date incident was first observed.

20-JUL-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)

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PMRA Registration No.       PMRA Submission No.       EPA Registration No. 67702-21-239

Product Name: Ecosense Brand Insecticidal Soap 24fl oz

• Active Ingredient(s)
  • POTASSIUM SALTS OF FATTY ACIDS
    • Guarantee/concentration 1 %

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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: 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 had been applied to a rose bush on 07/18/2009.

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

Other / Autre

specify Goat

3. Breed

Unknown breed

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

40

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

<=30 min / <=30 min

11. List all symptoms

System

• General
  • Symptom - Vocalizing
  • 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?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

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

1-19230261: A reporter (goat owner) called on 07/20/2009 to report the exposure of his goat to an insecticide containing the active ingredient Potassium Salts of Fatty Acids. According to the reporter, a rose bush had been sprayed with the product on 07/18/2009. On the day of the report, the rose bush was trimmed and the clippings were ingested by an unknown number of goats. Within 30 minutes, Goat #1 (1st Subform III) began vocalizing. She died 5 minutes later. None of the other goats developed any signs. The reporter was advised that ingestion of the product may result in minor gastrointestinal irritation but sudden death would not be anticipated. The reporter was advised that something else was likely the cause of death. A recommendation was made to consider necropsy to determine the cause of death. No further information was obtained.

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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