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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-3394

2. Registrant Information.

Registrant Reference Number: PROSAR Case#: 1-33540806

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.

02-MAY-13

5. Location of incident.

Country: UNITED STATES

Prov / State: CALIFORNIA

6. Date incident was first observed.

01-MAY-13

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 Ready-to-use

  • 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?

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 III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Chinese Crested

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

0.66

7. Weight (provide a range if necessary )

11

lbs

8. Route(s) of exposure

Oral

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 - Diarrhea
  • General
    • Symptom - Lethargy
  • Blood
    • Symptom - Bleeding
  • General
    • Symptom - Death
    • Symptom - Chills
  • Gastrointestinal System
    • Symptom - Bloody diarrhea

12. How long did the symptoms last?

Persisted until death

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

Yes

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?

Other / Autre

specify chewed on a hose that had been used to spray the product

17. Provide any additional details about the incident

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

1-33540806 - The reporter, a pet owner, indicated that her dog was exposed to an herbicide containing the active ingredients 2,4-D, Mecoprop-p and Dicamba. The reporter states that one day prior to initial contact with the registrant her 8 month old, 11 pound, female Chinese Crested dog chewed on, but did not ingest, a hose that had been used to spray this product. That night the dog had the chills, diarrhea and was lethargic. The reporter was advised that the product has a wide margin of safety, if ingested it may cause transient gastrointestinal irritation; veterinary care was advised for any severe or persistent symptoms. On follow-up call fifteen days later the reporter indicated that her dog died on the night of initial contact. The reporter stated that she did take the dog to the veterinarian who indicated that the dog was bleeding internally and had bloody diarrhea and per the reporter the veterinarian indicated to her that the dog had been poisoned. The reporter was advised that internal bleeding is not expected with exposure to this product. The reporter was asked if her dog might have been exposed to a long acting anti-coagulant rodenticide but she indicated that the dog had not been exposed to a rodenticide. 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