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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-1479

2. Registrant Information.

Registrant Reference Number: PROSAR Case #1-25360752

Registrant Name (Full Legal Name no abbreviations): Syngenta Crop Protection Canada, Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

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

Packaging Failure

4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA

Prov / State: ALBERTA

6. Date incident was first observed.

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.

PMRA Registration No. 29138      PMRA Submission No.       EPA Registration No.

Product Name: Broadband Herbicide

• Active Ingredient(s)
  • FLORASULAM
  • PINOXADEN

7. b) Type of formulation.

Application Information

8. Product was applied?

Unknown

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 VI: Packaging Failure

1. What is the type of packaging that failed?

Drum-metal / Fût-métal

2. Did packaging failure occur during?

Transportation

3. Did packaging failure result in?

potential exposure

4. Describe how the packaging failed and the surrounding circumstances, including a description of the potential injury or exposure.

1-25360752- The reporter, a warehouse employee, notified the registrant of a package failure involving an herbicide containing the active ingredients pinoxaden and florasulam. The reporter indicated 11 drums containing the product were wet on top upon delivery to his facility. He estimated less than two liters of product had leaked. He described effective clean up of the trailer that had delivered the product and was advised of adjustments to be made to the package to mitigate further leak. No exposure or environmental injury was described. No further information is available.

For Registrant use only

5. Provide supplemental information here.

This issue has been addressed by changing the vent cap. No further incidents have been reported since.