Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-3896

2. Registrant Information.

Registrant Reference Number: ENG20100002

Registrant Name (Full Legal Name no abbreviations): Mitsui and Company (Canada) LTD.

Address: 20 Adelaide Street East, Suite 1400

City: Toronto

Prov / State: ON

Country: Canada

Postal Code: M5C 2T6

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.

10-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)

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PMRA Registration No. 15032      PMRA Submission No.       EPA Registration No.

Product Name: Basamid Granular Soil Fumigant

• Active Ingredient(s)
  • DAZOMET

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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

Unknown

5. Description of site where incident was observed

Fresh water

Stream

Terrestrial

Salt Water

6. Check all symptoms that apply

Death

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

Media reported fish kill in Mill Creek August 10, 2010 (Kelowna Daily Courier, provided to Engage Agro August 20, 2010), near the fire site. Firefighting efforts to control fire at Stewart Center resulted in water draining into the environment. Agricultural chemicals were in the Univar Warehouse, part of the Stewart Center, at the time of the fire. We do not know if the agricultural chemicals resulted in the reported fish kill or if the fish died as a result of other materials from the fire entering the environment.

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

Other

Fire at Univar Warehouse resulted in water draining into the environment.

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?

No

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

Fire at a Univar Warehouse resulted in water used to fight the fire draining into the environment. Media reported a fish kill. It is unknown whether the fish kill was caused by agricultural pesticides entering the environment with the fire-fighting water or by other materials that may have entered the environment as a result of the fire.