Incident Report

Subform I: General Information

1. Report Type.

Update the report

Incident Report Number: 2011-4464

2. Registrant Information.

Registrant Reference Number: x

Registrant Name (Full Legal Name no abbreviations): x

Address: x

City: x

Prov / State: x

Country: x

Postal Code: X

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

Environment

4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

6. Date incident was first observed.

24-JUN-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)

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PMRA Registration No. 9382      PMRA Submission No.       EPA Registration No.

Product Name: LAGON 480 E INSECTICIDE

• Active Ingredient(s)
  • DIMETHOATE

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7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

910

Other Units: ml/acre

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

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: cherry

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

3640 ml/1500 liter sprayer tank to cover 4 acre. This applied to all varieties of cherry (Lapin, Rainier, Staccato, Centenial). Approximate acreage 10-11 acr.

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

Trees or shrubs / Arbre ou arbuste

2. Common name(s)

Cherry: Lapin, Rainier, Staccato, Centennial

3. Scientific name(s)

Unknown

4. Number of organisms affected

800

5. Description of site where incident was observed

Fresh water

Terrestrial

Agricultural

Salt Water

6. Check all symptoms that apply

Abnormal abscission

Terminal bud death

Visible injury ( eg. chlorosis, necrosis, bleaching)

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

Within 10 days the leaf started to become yellow just like fall and dropped. The lower branches were more affected than upper part of tree. Within a period of 2 months following the spray I observed that all the varieties of cherries presented with premature falling of the leaf but not as significantly as Lapin trees. Any next year cherry bud or leaf bud that lost all it's leaf following spray died off or dying. 700-800 trees affected

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

Application

8. b) i) How many times has the product been applied this year?

Unknown

8. b) ii) What was the date of the last application?

Unknown

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?

Unknown

10. b) What type?

Aquatic

10. c) What was the size of the buffer zone?

11. a) Were environmental samples collected and analysed?

No

To be determined by Registrant

12. Severity classification (if there is more than one possible classification, select the most severe)

13. Please provide supplemental information here