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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-0425

2. Registrant Information.

Registrant Reference Number: Prosar 1-21107150

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.

18-DEC-09

5. Location of incident.

Country: UNITED STATES

Prov / State: CALIFORNIA

6. Date incident was first observed.

17-DEC-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. 239-2691

Product Name: Total Kill Lawn Weed Killer Ready To Use

  • Active Ingredient(s)
    • 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
      • Guarantee/concentration .326 %
    • MECOPROP P-ISOMER PRESENT AS DIMETHYLAMINE SALT
      • Guarantee/concentration .163 %

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 was applied to a dandelion on 12/18/2009.

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

Dog / Chien

3. Breed

Mixed Breed

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

7

7. Weight (provide a range if necessary )

55

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
    • Symptom - Anorexia
  • General
    • Symptom - Lethargy
    • Symptom - Polydipsia
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.

Yes

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Died

16. How was the animal exposed?

Other / Autre

specify Unknown-possible accidental ingestion of herbicide

17. Provide any additional details about the incident

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

1-21107150: A reporter (dog owner) called on 12/18/2009 to report the possible exposure of his dog to an herbicide containing the active ingredients 2,4-D; Mecoprop-p; and (R)-2-(2,4-Dichlorophenoxy) propionic acid, (2,4-DP-p). According to the reporter, the product was applied to a dandelion on 12/17/2009. Ingestion was not witnessed, but the dog started vomiting later that night. At the time of the report, the dog was lethargic, not eating, but seemed very thirsty and would vomit after drinking water. The reporter was advised that the signs described are not likely related to product exposure. Small ingestions of product may result in transient gastrointestinal upset such as nausea, vomiting, and diarrhea. A recommendation was made to have the dog evaluated by a veterinarian if the signs persist. On follow up on 12/21/2009, the reporter stated that the dog was brought to the veterinarian on 12/18/2009. Blood work was sent out and an x-ray was planned pending the blood work results. The dog died overnight on 12/18/2009. 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