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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-1712

2. Registrant Information.

Registrant Reference Number: PROSAR case# 1-25745071

Registrant Name (Full Legal Name no abbreviations): The Scotts Company LLC

Address: 14111 Scottslawn Road

City: Marysville

Prov / State: Ohio

Country: USA

Postal Code: 43041

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

Domestic Animal

4. Date registrant was first informed of the incident.

31-MAR-11

5. Location of incident.

Country: UNITED STATES

Prov / State: MISSISSIPPI

6. Date incident was first observed.

30-MAR-11

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. 239-2682

Product Name: Weed-B-Gon Kills Weeds, Not Lawns

  • Active Ingredient(s)
    • 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
      • Guarantee/concentration .12 %
    • DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
      • Guarantee/concentration .05 %
    • MECOPROP-P (PRESENT AS AMINE SALT)
      • Guarantee/concentration .22 %

7. b) Type of formulation.

Liquid

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

Dog / Chien

3. Breed

Mixed breed dog

4. Number of animals affected

1

5. Sex

Male

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

  • Gastrointestinal System
    • Symptom - Vomiting
    • Symptom - Anorexia
    • Symptom - Salivating excessively
    • Symptom - Diarrhea
    • Symptom - Bloody stool
  • 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?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

1-25745071- The caller reports potential exposure of a domestic animal to an herbicide containing the active ingredient mecoprop-p, dicamba, and 2, 4-D. The caller, a good Samaritan, indicates three young mixed breed stray dogs were abandoned near his home within the past few days just prior to his initial contact with the registrant. The caller reports his wife applied the product to some weeds on their lawn within the past 3-4 days. The caller described no observed exposure of the animals described but has noted some illness and wondered if it may be due to the product use described. The caller indicated all three animals would not eat, vomiting, bloody diarrhea, and salivating. The caller reported he found one male dog (Subform III, #1) dead the day prior to his initial report. The remaining two animals (Subform III, #2) were having persistent signs. The reporter was advised the signs seen would be unexpected following observed exposure. Mild irritation to exposed body surfaces may be seen following exposure to the formulation indicated. The reporter was advised to seek veterinary assistance. No further information is available.


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

Dog / Chien

3. Breed

mixed breed dog

4. Number of animals affected

2

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

  • Gastrointestinal System
    • Symptom - Anorexia
    • Symptom - Vomiting
    • Symptom - Salivating excessively
    • Symptom - Bloody stool
    • Symptom - Diarrhea

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

Unknown/Inconnu

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

1-25745071- The caller reports potential exposure of a domestic animal to an herbicide containing the active ingredient mecoprop-p, dicamba, and 2, 4-D. The caller, a good Samaritan, indicates three young mixed breed stray dogs were abandoned near his home within the past few days just prior to his initial contact with the registrant. The caller reports his wife applied the product to some weeds on their lawn within the past 3-4 days. The caller described no observed exposure of the animals described but has noted some illness and wondered if it may be due to the product use described. The caller indicated all three animals would not eat, vomiting, bloody diarrhea, and salivating. The caller reported he found one male dog (Subform III, #1) dead the day prior to his initial report. The remaining two animals (Subform III, #2) were having persistent signs. The reporter was advised the signs seen would be unexpected following observed exposure. Mild irritation to exposed body surfaces may be seen following exposure to the formulation indicated. The reporter was advised to seek veterinary assistance. No further information is available.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here