Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-3707

2. Registrant Information.

Registrant Reference Number: 100069884

Registrant Name (Full Legal Name no abbreviations): Monsanto Canada Inc.

Address: 180 Kent Street, Suite 810

City: Ottawa

Prov / State: ON

Country: Canada

Postal Code: K1P 0B6

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

Domestic Animal

4. Date registrant was first informed of the incident.

16-JUL-10

5. Location of incident.

Country: UNITED STATES

Prov / State: OHIO

6. Date incident was first observed.

10-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. 524-529

Product Name: Roundup Pro Concentrate

• Active Ingredient(s)
  • GLYPHOSATE (PRESENT AS ISOPROPYLAMINE SALT OR ETHANOLAMINE SALT)
    • Guarantee/concentration 50.2 %

---

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 961-280

Product Name: Greenview Preen The Flower and Garden Weed Preventer

• Active Ingredient(s)
  • TRIFLURALIN
    • Guarantee/concentration 1.47 %

---

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 33068-1

Product Name: Aquashade Aquatic Plant Growth Control

• Active Ingredient(s)

---

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

Product Name: Firestone pond repair kit

• Active Ingredient(s)

---

7. b) Type of formulation.

Liquid

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).

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

Other

2. Type of animal affected

Fish / Poisson

3. Breed

Koi

4. Number of animals affected

27

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

>1 mo <=2 mos / > 1 mois < = 2 mois

11. List all symptoms

System

• General
  • Symptom - Abnormal behaviour
  • Specify - Erratic Behavior
  • Symptom - Death

12. How long did the symptoms last?

>24 hrs <=3 days / >24 h <=3 jours

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 unknown how potential exposure occurred

17. Provide any additional details about the incident

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

Signalment 0.0 yr Both weighing 0.0 lb. Was in excellent health previously. Normal environment: fresh water. Agent Exposures Greenview Preen The Flower and Garden Weed Preventer (observed agent id) Suspected exposure occurred on Apr 10, 2010 at 12:00 PM CDT (not specific ). Exposure involved unknown amount by other route. The exposure was yard use, and occurred at animal owner yard. The agent was obtained from Other Retailer. [Note : Fish may have been exposed to agent either from pellets washing down hill into pond or over treatment/spill from dispersing granules, although agent was to be used only in front yard not by pond. (by (name) on Jun 02, 2010 at 06:01 PM)] Because the amount was unknown consistent, the patient was considered to be at high risk of developing clinical signs. If signs develop, there is high risk that those signs will be life-threatening. [Note : Trifluralin is toxic to fish. (by (name) on Jun 02, 2010 at 06:01 PM)] --- Aquashade Aquatic Plant Growth Control (observed agent id) Suspected repeated exposure began on May 06, 2010 at 12:00 PM CDT (not specific ) and continued until May 13, 2010 at 12:00 PM CDT. Exposure involved 0.0 Not App (not specific) by other route given twice with not appropriate compliance. The exposure was treat condition, and occurred at animal owner other. The use was not labeled. [Note : Owner treated rocks around pond twice, one week apart. Owner used 1/16 gallon each time. Directions state to use 1 gallon per acre of pond. Product has been used before without problems. (by (name) on Jun 02, 2010 at 06:01 PM)] Because the amount was poorly consistent, the patient was considered to be at low risk of developing clinical signs. If signs develop, there is low risk that those signs will be life-threatening. [Note : No problems expected with use of this agent, even though much more diluted than label recommends. (by (name) on Jun 02, 2010 at 06:01 PM)] --- Roundup Pro Concentrate (EPA 524-529) (not specific agent id) Suspected exposure occurred on Apr 10, 2010 at 12:00 PM CDT (not specific ). Exposure involved unknown amount by other route. The exposure was yard use, and occurred at animal owner yard. The agent was obtained from Other Retailer. The lot number was did not have. The expiration date was null. [Note : Landscaper used a professional grade Roundup for weed control all the way to pond margins. (by (name) on Jun 02, 2010 at 06:01 PM)] Because the amount was unknown consistent, the patient was considered to be at low risk of developing clinical signs. If signs develop, there is low risk that those signs will be life-threatening. [Note : Glyphosate is safe for fish and birds. (by (name) on Jun 02, 2010 at 06:01 PM)] --- Firestone pond repair kit (observed agent id) Suspected exposure occurred on May 24, 2010 at 12:00 PM CDT (not specific ). Exposure involved 0.0 Not App (not specific) by other route. The exposure was yard use, and occurred at animal owner yard. The use was appropriate. The agent was obtained from Other Retailer. [Note : This agent used to repair liner for waterfall. (by (name) on Jun 02, 2010 at 06:01 PM)] Because the amount was poorly consistent, the patient was considered to be at low risk of developing clinical signs. If signs develop, there is low risk that those signs will be life-threatening. [Note : Agent is designed for use around pond animals; no signs expected with label use. (by (name) on Jun 02, 2010 at 06:01 PM)]

---

To be determined by Registrant

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

Death

19. Provide supplemental information here

Potential Causes Greenview Preen The Flower and Garden Weed Preventer Because the time course was unknown consistent, the amount was unknown consistent, and the findings were generally consistent, this substance was considered to have medium likelihood of causing the clinical situation. Aquashade Aquatic Plant Growth Control Because the time course was unknown consistent, the amount was poorly consistent, and the findings were poorly consistent, this substance was considered to have doubtful likelihood of causing the clinical situation. Roundup Pro Concentrate (EPA 524-529) Because the time course was unknown consistent, the amount was unknown consistent, and the findings were poorly consistent, this substance was considered to have doubtful likelihood of causing the clinical situation. Firestone pond repair kit Because the time course was unknown consistent, the amount was poorly consistent, and the findings were poorly consistent, this substance was considered to have doubtful likelihood of causing the clinical situation.

Subform III: Domestic Animal Incident Report

1. Source of Report

Other

2. Type of animal affected

Fish / Poisson

3. Breed

Bass

4. Number of animals affected

16

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

>1 mo <=2 mos / > 1 mois < = 2 mois

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?

Other / Autre

specify unknown how potential exposure occurred

17. Provide any additional details about the incident

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

Refer to section 17 and 18 of sub form #1.

---

To be determined by Registrant

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

Death

19. Provide supplemental information here

Subform III: Domestic Animal Incident Report

1. Source of Report

Other

2. Type of animal affected

Fish / Poisson

3. Breed

Bluegill

4. Number of animals affected

3

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

>1 mo <=2 mos / > 1 mois < = 2 mois

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?

Other / Autre

specify unknown how potential exposure occurred

17. Provide any additional details about the incident

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

Refer to section 17 and 18 of sub form #1.

---

To be determined by Registrant

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

Death

19. Provide supplemental information here

Subform III: Domestic Animal Incident Report

1. Source of Report

Other

2. Type of animal affected

Fish / Poisson

3. Breed

Catfish

4. Number of animals affected

7

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

>1 mo <=2 mos / > 1 mois < = 2 mois

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?

Other / Autre

specify unknown how potential exposure occurred

17. Provide any additional details about the incident

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

Refer to section 17 and 18 of sub form #1.

---

To be determined by Registrant

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

Death

19. Provide supplemental information here