Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-5297

2. Registrant Information.

Registrant Reference Number: Prosar 1-20060208

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.

19-SEP-09

5. Location of incident.

Country: UNITED STATES

Prov / State: TENNESSEE

6. Date incident was first observed.

19-SEP-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. 100-1091

Product Name: Reward Landscape And Aquatic Herbicide

• Active Ingredient(s)
  • DIQUAT
    • Guarantee/concentration 37.3 %

---

7. b) Type of formulation.

Liquid

Application Information

8. Product was applied?

Yes

9. Application Rate.

8

Other Units: pints/15 gallon water

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

Site: Other / Autre

Préciser le type: pond

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

The product (diluted 8 pints in 15 gallons of water) was applied to a 1/4 acre pond on 09/17/2009.

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

Fish / Poisson

3. Breed

Unknown

4. Number of animals affected

35

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

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

• 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?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

1-20060208: A reporter (fish owner) called on 09/19/2009 to report the exposure of his fish to an aquatic herbicide containing the active ingredient Diquat. According to the reporter, the 8 pints of product were diluted in 15 gallons of water and applied to a 1/4 acre pond on 09/17/2009. On 09/19/2009, the reporter observed 35 dead fish. The reporter also had concerns regarding his beef cattle that drink from the pond. At the time of the report, the cattle were asymptomatic. The reporter was advised that adverse effects would not be anticipated based on the dilute product being applied to a body of water. The reporter was also advised that the product binds tightly to organic matter upon application to water. A recommendation was made to contact the USDA for any withdrawal policies should the cattle be intended for slaughter.

---

To be determined by Registrant

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

Death

19. Provide supplemental information here

The product was applied at twice the maximum label rate. The label cautions that should the weed infestation be severe, application of Diquat may lead to death of fish due to oxygen elimination/deprivation.