Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-5415

2. Registrant Information.

Registrant Reference Number: 100120542

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.

15-OCT-10

5. Location of incident.

Country: UNITED STATES

Prov / State: MINNESOTA

6. Date incident was first observed.

20-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.       PMRA Submission No.       EPA Registration No. 71995-25

Product Name: Roundup Weed and Grass Killer Super Concentrate

• Active Ingredient(s)
  • GLYPHOSATE (PRESENT AS ISOPROPYLAMINE SALT OR ETHANOLAMINE SALT)
    • Guarantee/concentration 50 %

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7. b) Type of formulation.

Other (specify)

Concentrate

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Other / Autre

Préciser le type: field/pasture

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

Sheep / Mouton

3. Breed

unknown

4. Number of animals affected

4

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

Unknown / Inconnu

11. List all symptoms

System

• General
  • Symptom - Death

12. How long did the symptoms last?

Unknown / Inconnu

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?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

Signalment Age unknown Unknown weighing unknown amount. Agent Exposure Roundup Weed and Grass Killer Super Concentrate (observed agent id) Possible exposure occurred on Aug 20, 2010 at 12:00 PM CDT (possible ). Exposure involved unknown amount orally. The exposure was accidental, and occurred at animal owner field/pasture. [Note : Someone who works for the caller sprayed some thistles in the pasture on either 8-19 or 8-20. The concentration is probably on the high end of the label directions, although this is unknown. The last time anyone had actually counted the 6 sheep was sometime around the first of August. The owner comes weekly to give a mineral supplement and fresh water (?) but doesn't count them. On 9-11, someone was getting ready to mow the pasture, and told the caller there was a dead sheep. The sheep had an odor, and was infested with maggots so date of death was probably 2-3 days earlier. The caller had to leave and did not count the remaining sheep. When caller got back, found 3 other carcasses--2 of which only had a rib cage remaining. Unknown date of death. Owner is sure no coyotes, etc could get in pasture. He assumes the owner picked up the 2 live sheep. Unknown if they are healthy. There was no necropsy and tissue is in very poor condition (for the one found intact on 9-11). Advised to have a DVM examine the live sheep. Caller is not interested in this. Caller's phone rang and he hung up. Did not get a case number or fu phone #. (by [initial] on Sep 14, 2010 at 12:59 PM)] Because the amount was unknown consistent, the patient was considered to be at unknown risk of developing clinical signs. If signs develop, there is low risk that those signs will be life-threatening. [Note : Glyphosate is an amino acid inhibitor that affects the shikimic pathway in plants. Mammals do not have this pathway. Glyphosate is considered practically non-toxic via dermal and oral routes. However, the formulation frequently includes surfactants that can be irritating. Most yard use products will cause no more than mild self-limiting GI upset. (by [initial] on Sep 14, 2010 at 12:59 PM)] Clinical Status Death (4) {General Disorders} [Note : The dead sheep was discovered on 9-11, but the actual date of death is earlier. It is not known if any clinical signs preceeded death. (by [initial] on Sep 14, 2010 at 12:59 PM)] Permanent: Sep 11, 2010 at 12:00 PM CDT Status: Death Potential Cause Roundup Weed and Grass Killer Super Concentrate Because the time course was poorly 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.

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To be determined by Registrant

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

Death

19. Provide supplemental information here

Two other sheep were mentioned in this report, however they did not die.