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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-4996

2. Registrant Information.

Registrant Reference Number: AMV

Registrant Name (Full Legal Name no abbreviations): Amvac Chemical Corporation

Address: 4695 MacArthur Court, Suite 1250

City: Newport Beach

Prov / State: CA

Country: USA

Postal Code: 92660

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: MANITOBA

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. 12853      PMRA Submission No.       EPA Registration No.

Product Name: Avenge 200-C

• Active Ingredient(s)
  • DIFENZOQUAT (PRESENT AS METHYL SULPHATE SALT)

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?

Storage

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.

Reported from Syngenta regarding PROSAR report- written by (name): "1-26772604- The reporter, an employee of the distributor, indicated a package failure involving an herbicide containing the active ingredient difenzoquat. The reporter indicated he had been advised of a drum being held in a warehouse had leaked an estimated one liter of the product onto itself. Then leak had taken place the same day of his report. The drum had apparently leaked from air vents that were reported to have been inadequately tightened and the leaked product had dried onto the drum which had leaked. The reporter indicated no environmental injury or exposure had been taken place. The leaking package were being exchanged. No further information is available."

For Registrant use only

5. Provide supplemental information here.

Per registrants review of the PROSAR Case Report 1-26772604, the spill was located at the (name) Warehouse in (city), Manitoba. Syngenta is our distributer of this product for Canada and they learned of the spill through an email from their client Univar. A Conference call was held on 8/17/2011 with (name) manufacturing and our Toll Manufacturer to correct the problem and prevent further packaging issues.