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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-3666

2. Registrant Information.

Registrant Reference Number: 080309-01 MCPA

Registrant Name (Full Legal Name no abbreviations): MCPA Task Force Three (members: Nufarm bv, Dow AgroSciences, Nufarm Limited [previously AH Marks Co. Ltd.]

Address: 44 Tamarack Circle

City: Toronto

Prov / State: Ontario

Country: CANADA

Postal Code: M9P 3T9

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

Scientific Study

4. Date registrant was first informed of the incident.

5. Location of incident.

6. Date incident was first observed.

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.

PMRA Registration No. 19152      PMRA Submission No.       EPA Registration No.

Product Name: Nufarm MCPA Amine Manufacturing Concentrate (See Subform VII Para 7)

• Active Ingredient(s)
  • MCPA (PRESENT AS AMINE SALTS: DIETHANOLAMINE, DIMETHYLAMINE, OR MIXED AMINES)

PMRA Registration No. 19516      PMRA Submission No.       EPA Registration No.

Product Name: MARKS MANUFACTURING CONCENTRATE MCPA DIMETHYLAMINE SALT 650 FORMULATIO

• Active Ingredient(s)
  • MCPA (PRESENT AS AMINE SALTS: DIETHANOLAMINE, DIMETHYLAMINE, OR MIXED AMINES)

PMRA Registration No. 20292      PMRA Submission No.       EPA Registration No.

Product Name: MCPA AMINE 720 HERBICIDE CONCENTRATE

• Active Ingredient(s)
  • MCPA (PRESENT AS AMINE SALTS: DIETHANOLAMINE, DIMETHYLAMINE, OR MIXED AMINES)

7. b) Type of formulation.

Application Information

8. Product was applied?

Unknown

9. Application Rate.

10. Site pesticide was applied to (select all that apply).

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

To be determined by Registrant

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

Unknown

Subform VII: Scientific Study

1. Study Reference

Title Notification of Possible 6(a)(2) Data: MCPA Task Force Three; 28-Day Inhalation Study on MCPA DMA -- new information

Date 03-AUG-09

2. a) Is an extension needed to translate the document?

No

3. Type of incident identified in the study

New health or environmental hazard

4. Describe the incident identified in the study (e.g. study demonstrates an increased risk to non-Hodgkin's Lymphoma after exposure to pesticide X)

The MCPA Task Force Three submitted to U.S. EPA information pursuant to US EPA's FIFRA 6(a)(2) and the Agency's published implementation regulations; the Task Force does not believe the information constitutes an unreasonable adverse effect on man or the environment. The MCPA Task Force Three submitted this "NEW" information as an "INCIDENT REPORT" because it recently received new information from the laboratory conducting a 28-day inhalation study on MCPA DMA. The current findings should have no or minimal impact on the evaluation as reported in the recent U.S. RED.

5. a) Was the study discontinued before completion?

No

5. b) Provide the reason for discontinuation

6. If the study is ongoing, what is the expected completion date?

30-NOV-09

For Registrant use only

7. Provide supplemental information here

On Subform I: Product Description PMRA Registration No. - We listed 19152, Nufarm MCPA Amine Manufacturing Concentrate. However, this incident report is being submitted by all members of the MCPA Task Force Three. Therefore, this incident applies to Regis. No. 19516, Marks Manufacturing Concentrate MCPA Dimethylamine Salt 650 Form; and, Regis No. 20292, (Dow) MCPA Amine 720 Herbicide Concentrate.