Health Canada
Symbol of the Government of Canada
Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-3844

2. Registrant Information.

Registrant Reference Number: 2010-38

Registrant Name (Full Legal Name no abbreviations): BASF Canada

Address: 100 Milverton, 5th floor

City: Mississauga

Prov / State: ON

Country: Canada

Postal Code: L5R4H1

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

Environment

4. Date registrant was first informed of the incident.

20-AUG-10

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

6. Date incident was first observed.

01-AUG-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. 23439      PMRA Submission No.       EPA Registration No.

Product Name: PROWL 400EC

  • Active Ingredient(s)
    • PENDIMETHALIN

PMRA Registration No. 26257      PMRA Submission No.       EPA Registration No.

Product Name: SOVRAN

  • Active Ingredient(s)
    • KRESOXIM-METHYL

PMRA Registration No. 16937      PMRA Submission No.       EPA Registration No.

Product Name: ASSIST

  • Active Ingredient(s)
    • PARAFFIN BASE PETROLEUM OIL

PMRA Registration No. 24835      PMRA Submission No.       EPA Registration No.

Product Name: POAST

  • Active Ingredient(s)
    • SETHOXYDIM

PMRA Registration No. 28042      PMRA Submission No.       EPA Registration No.

Product Name: APOGEE

  • Active Ingredient(s)
    • PROHEXADIONE CALCIUM

PMRA Registration No. 15738      PMRA Submission No.       EPA Registration No.

Product Name: RIPCORD

  • Active Ingredient(s)
    • CYPERMETHRIN

PMRA Registration No. 21058      PMRA Submission No.       EPA Registration No.

Product Name: MERGE

  • Active Ingredient(s)
    • SURFACTANT BLEND

PMRA Registration No. 27323      PMRA Submission No.       EPA Registration No.

Product Name: CABRIO

  • Active Ingredient(s)
    • PYRACLOSTROBIN

PMRA Registration No. 23957      PMRA Submission No.       EPA Registration No.

Product Name: BANVEL 2

  • Active Ingredient(s)
    • DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)

PMRA Registration No. 18836      PMRA Submission No.       EPA Registration No.

Product Name: KUMULUS

  • Active Ingredient(s)
    • SULPHUR

PMRA Registration No. 12221      PMRA Submission No.       EPA Registration No.

Product Name: BASAGRAN

  • Active Ingredient(s)
    • BENTAZON

PMRA Registration No. 27495      PMRA Submission No.       EPA Registration No.

Product Name: LANCE

  • Active Ingredient(s)
    • BOSCALID

PMRA Registration No. 27985      PMRA Submission No.       EPA Registration No.

Product Name: PRISTINE

  • Active Ingredient(s)
    • BOSCALID

PMRA Registration No. 27985      PMRA Submission No.       EPA Registration No.

Product Name: PRISTINE

  • Active Ingredient(s)
    • PYRACLOSTROBIN

PMRA Registration No. 23713      PMRA Submission No.       EPA Registration No.

Product Name: ARSENAL

  • Active Ingredient(s)
    • IMAZAPYR

7. b) Type of formulation.

Application Information

8. Product was applied?

No

9. Application Rate.

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

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 IV: Environment (includes plants insects and wildlife)

1. Type of organism affected

Fish-Non-schooling/Poisson-Autre poisson

2. Common name(s)

Unknown

3. Scientific name(s)

Unknown

4. Number of organisms affected

1000

5. Description of site where incident was observed

Fresh water

River

Terrestrial

Salt Water

6. Check all symptoms that apply

Death

7. Describe symptoms and outcome (died, recovered, etc.).

Report that 700-1000 fish died, unclear at this point if schooling or non, assume for worst-case that non-school

8. a) Was the incident a result of (select all that apply)

Other

Dousing fire at facility caused overflow to stream

8. b) i) How many times has the product been applied this year?

8. b) ii) What was the date of the last application?

9. Did it rain

9. a) During application?

Unknown

9. b) Up to 3 days after application?

Unknown

10. a) Was there a buffer zone?

Unknown

10. b) What type?

10. c) What was the size of the buffer zone?

11. a) Were environmental samples collected and analysed?

Unknown

To be determined by Registrant

12. Severity classification (if there is more than one possible classification, select the most severe)

Major

13. Please provide supplemental information here

This is a list of possible BASF products at that site, actual quantities, if any, are unknown. Fish taken to be non-schooling will result in major (ie, greater than 150) designation