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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-0591

2. Registrant Information.

Registrant Reference Number: GOW

Registrant Name (Full Legal Name no abbreviations): Gowan Company, L.L.C.

Address: P.O. Box 5569

City: Yuma

Prov / State: AZ

Country: USA

Postal Code: 85366-5569

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

Scientific Study

4. Date registrant was first informed of the incident.

5. Location of incident.

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. 23055      PMRA Submission No.       EPA Registration No. 10163-172

Product Name: Imidan Technical Organophosphorous Insecticide

• Active Ingredient(s)
  • PHOSMET

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 VII: Scientific Study

1. Study Reference

Title Amphibian Metamorphosis Assay with African Clawed Frog

Date 27-FEB-12

2. a) Is an extension needed to translate the document?

No

3. Type of incident identified in the study

New health or environmental hazard

4. Describe the incident identified in the study (e.g. study demonstrates an increased risk to non-Hodgkin's Lymphoma after exposure to pesticide X)

Submitted to EPA under the EDSP data call-in (EDSP-059201, phosmet). Results may be reportable. There was no indication of endocrine effects per se in the attached study. The attached new data do not represent any practical likelihood of adverse effects occurring to species in the wild. Flow-through experimental test conditions were employed to artificially maintain constant concentrations of test substance over the testing intervals. Given the very rapid hydrolysis of phosmet (half life approximately 9 hours at neutral pH), there is no possibility of environmental exposure occurring in the manner employed in the screening study.

5. a) Was the study discontinued before completion?

No

5. b) Provide the reason for discontinuation

6. If the study is ongoing, what is the expected completion date?

For Registrant use only

7. Provide supplemental information here