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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-2245

2. Registrant Information.

Registrant Reference Number: PROSAR case #1-22430893

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

Address: 14111 Scottslawn Road

City: Marysville

Prov / State: OH

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.

29-APR-10

5. Location of incident.

Country: UNITED STATES

Prov / State: OHIO

6. Date incident was first observed.

28-APR-10

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. 228-424-239

Product Name: Weed-B-Gon MAX Ready Spray 32 fl oz

  • Active Ingredient(s)
    • DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
      • Guarantee/concentration 1.35 %
    • MCPA (PRESENT AS AMINE SALTS: DIETHANOLAMINE, DIMETHYLAMINE, OR MIXED AMINES)
      • Guarantee/concentration 13.72 %
    • TRICLOPYR TRIETHYLAMINE SALT
      • Guarantee/concentration 1.56 %

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 caller and animal owner reports he applied the product in his yard (2010-04/27) 2 days prior to his report. He did not clarify the application rate and location on his property.

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

Pit Bull Terrier

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

1

7. Weight (provide a range if necessary )

60

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>30 min <=2 hrs / >30 min <=2 h

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?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

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

1-22430893: A reporter (dog owner) called on 04/29/2010 to report suspected of her dog exposure to an herbicide containing the active ingredients MCPA Dimethylamine Salt, Triclopyr Triethylamine Salt, and Dimethylamine dicamba. According to the reporter the product was applied to the lawn 04/27/2010. No exposure to the treated lawn was described. The reporter states the animal was left unattended for an unknown duration in the presence of a hose that was connected to the hose end sprayer product. The reporter stated his suspicion the animal may have ingested water draining from that hose. No exposure was observed. The animal was not reported to have access to the container of the product. The reporter stated 04/28/2010 he discovered his animal dead. No symptoms were observed prior to the animal¿s death. The reporter indicated he brought the deceased animal to his veterinarian, no necropsy or diagnostics were performed. The reporter was advised that death would not be expected following the suspected exposure described. Ingestion of product may result in temporary gastrointestinal irritation such as nausea, vomiting or diarrhea. A recommendation was made to consider necropsy to determine the cause of death. 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