Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-2622

2. Registrant Information.

Registrant Reference Number: PROSAR Case # 1-26095826

Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.

Address: 2000 Argentia Road, Plaza 5, Suite 101

City: Mississauga

Prov / State: Ontario

Country: Canada

Postal Code: L5N2R7

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

Domestic Animal

4. Date registrant was first informed of the incident.

09-MAY-11

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

Unknown

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. 2009025

Product Name: Turf Builder Lawn Fertilizer 10-0-0 with Weed Prevent

• Active Ingredient(s)
  • CORN GLUTEN MEAL

---

7. b) Type of formulation.

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

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Yorkshire terrier

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

4.5

7. Weight (provide a range if necessary )

8

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>3 days <=1 wk / >3 jours <=1 sem

11. List all symptoms

System

• Skin
  • Symptom - Pruritus
  • Symptom - Erythema
  • Symptom - Rash

• Blood
  • Symptom - Other
  • Specify - hyperimmunoglobulinemia

• Skin
  • Symptom - Red skin

12. How long did the symptoms last?

Unknown / Inconnu

13. Was medical treatment provided? Provide details in question 17.

Yes

14. a) Was the animal hospitalized?

Unknown

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

1-26095826- The reporter, a pet owner, indicates her animal was exposed to an herbicide containing 100% corn gluten meal. The pet owner indicated she applied the product to her lawn two weeks prior to the initial contact with the registrant. The pet owner indicated two to three days following application her four and one half year eight pound male Yorkshire terrier developed an allergic reaction. The pet owner described itch, dermal redness and bumps around the neck. The pet was brought to a holistic vet clinic and prescribed Benadryl and told the animals¿ immunoglobin was increased. The pet owner indicated she believed ingestion of granules of this product elicited the reaction seen in her animal, but was unable to describe a discreet exposure incident. The pet owner was advised the signs seen were inconsistent with the profile of the active ingredient. Direct ingestion could elicit gastrointestinal irritation but would not be expected to elicit dermatologic signs or hypersensitivity. 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