Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-2935

2. Registrant Information.

Registrant Reference Number: PROSAR Case # 1-22699960

Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.

Address: 2000 Argentia Road, Plaza 5, Suite 101

City: Mississauga

Prov / State: Ontario

Country: Canada

Postal Code: L5N2R7

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

Domestic Animal

4. Date registrant was first informed of the incident.

20-MAY-10

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

18-MAY-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)

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PMRA Registration No.       PMRA Submission No.       EPA Registration No. Unknown

Product Name: Killex fertilizer (Non-specific)

• Active Ingredient(s)
  • 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
  • DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
  • MECOPROP P-ISOMER (PRESENT AS ACID)

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7. b) Type of formulation.

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 residential lawn, no further information is available regarding application

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

Rottweiler

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

0.33

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

• Gastrointestinal System
  • Symptom - Diarrhea
  • Symptom - Vomiting

• General
  • Symptom - Lethargy

• Nervous and Muscular Systems
  • Symptom - Ataxia
  • Symptom - Fasciculations

• Gastrointestinal System
  • Symptom - Salivating excessively
  • Symptom - Bloody vomit

12. How long did the symptoms last?

Unknown / Inconnu

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

Unknown/Inconnu

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

1-22699960- The reporter calls to indicate her dog has been exposed to a herbicide containing the active ingredients 2, 4-d (dimethylamine salt), mecoprop-p (propionic acid), dicamba (dimethylamine salt). She reports her husband applied the product to their residential lawn 4 days prior to the call (unspecified technique or rate). He had also seeded the lawn with the product "Turf Builder EZ Seed Mulch Grass Seed Lawn Fertilizer 1-0-0 1" (No hazardous ingredients by WHMIS criteria). No ingestion was observed. Two days later the 4 month Rottweiler dog developed diarrhea, vomiting, ataxia, salivation, and tremors. The next day the animal became lethargic and began to have evidence of blood in it s vomitus. The caller had taken the animal to the veterinarian the day of the call but was unable to pursue recommended diagnostics due to financial concerns. The veterinarian offered outpatient supportive care that included antibiotics, antacids and fluids due to observed dehydration. The caller was advised the delayed onset of these signs are not expected. Ingestion of small quantities of the product may yield gastrointestinal irritation immediately following exposure requiring supportive care. The caller was advised to follow with the veterinarian if the signs persist. On routine call back it was found the animal had been brought back to the veterinarian for intravenous fluid therapy and the owner had authorized blood work. No further information is available.

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To be determined by Registrant

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

Moderate

19. Provide supplemental information here