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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-4728

2. Registrant Information.

Registrant Reference Number: Prosar 1-20429690

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.

15-OCT-09

5. Location of incident.

Country: UNITED STATES

Prov / State: KANSAS

6. Date incident was first observed.

10-OCT-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.       PMRA Submission No.       EPA Registration No. 538-283

Product Name: Lawn Pro Super Turf Builder Winterguard Plus 2 Weed Control 27-2-12 Wa

  • Active Ingredient(s)
    • 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
      • Guarantee/concentration 1.03 %
    • AMMONIUM SULPHATE
    • MECOPROP P-ISOMER PRESENT AS DIMETHYLAMINE SALT
      • Guarantee/concentration .52 %
    • SULPHUR
      • Guarantee/concentration 5
    • UREA
      • Guarantee/concentration 30

7. b) Type of formulation.

Granular

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 the lawn on 10/06/2009.

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

Dog / Chien

3. Breed

Labrador Retriever

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

2

7. Weight (provide a range if necessary )

48

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

  • Gastrointestinal System
    • Symptom - Vomiting
  • General
    • Symptom - Death
  • Gastrointestinal System
    • Symptom - Other
    • Specify - Intestines swollen, black, and ulcerated/bleeding

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?

Other / Autre

specify Possible unintentional ingestion of pesticide

17. Provide any additional details about the incident

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

1-20429690: A reporter (dog owner) called on 10/15/2009 to report the possible exposure of his dog to a fertilizer plus herbicide containing the active ingredients Urea, Potassium sulphate, Ammonium sulphate, Sulphur, Ammonium phosphate, 2-4 D, and Mecoprop-p. According to the reporter, the product was applied to the lawn on 10/06/2009. It did rain and the treated area was wet. The granules seemed to be completely dissolved within 4 days of product application. The dog was witnessed eating the treated grass on 10/10/2009 and 10/11/2009. On 10/11/2009, the dog started vomiting. The vomiting persisted, and the dog was found dead on 10/13/2009. A veterinarian performed a necropsy and discovered swollen, black, ulcerated/bleeding intestines. The veterinarian did not suspect the product as contributing to the dog's death and mentioned other possible causes for the signs. The reporter was advised that small ingestions of the product may result in minor gastrointestinal upset that typically resolves on its own. The signs described would not be expected even with direct ingestion of the product. No further information was obtained.


To be determined by Registrant

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

Death

19. Provide supplemental information here