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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2013-3624
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: ONTARIO
6. Date incident was first observed.
06-MAY-13Product 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.
Product Name: unknown
- Active Ingredient(s)
- CLOTHIANIDIN
- THIAMETHOXAM
7. b) Type of formulation.
Application Information
8. Product was applied?
Unknown
9. Application Rate.
Unknown
10. Site pesticide was applied to (select all that apply).
Site: Unknown / Inconnu
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
In 2012, the following treatments were applied to the hives: formic acid, fluvalinate-tau and antibiotics. In 2013, the following treatments were applied to the hives: formic acid and antibiotics. Information on crops located near the beeyards: 40 ac of corn - Field 1 was unknown distance from the beeyard, and was planted on 2013-05-06, using a conventional method. Pioneer P0118YHR (PPST 250) P9910LR Lot# K3Ch A11146-0 was planted. Other crops in the area included soybean stubble, bush and hay;400 ac of corn - Field 2 was an unknown distance from the beeyard, and was planted on May 3 - May 6 2013 using a White Air Planter - Positive Air as the planting method . Pioneer (Poncho/Vitivo 1250) Variety P0Z16HR Lot# K3PLY11015-0 Batch#1727959 was planted; No seed Lubricant was used; 20 ac of corn - Field 3, and was planted on 2013-05-07, using a John Deere 1780 (vacuum) as planting method. 35F44 Pioneer (Herleulex Roundup) Treated with PPs250, no seed lubricant used was used; 50 ac of corn - Field 4 was unknown distrance from the beeyard, and was planted on May 2 - May 4 2013 , using a John Deere 1780 (vacuum) . Pioneer 35F60 (probably treated with PPS250), Seed Lubricant - John Deere Talc (250ml 6 bags) was used;50 ac of corn - Field 5 was unknown distance from the beeyard, and was planted on 2013-05-07. Dekalb 5262 was used; Corn - Field 6 was unknown distance from the beeyard. Dekalb was used on the crop. Beekeeper reported kill of 300 plus bees.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
Terr. Invrtbrt-Honey Bee/Inv.Ter-Abeille
2. Common name(s)
honey bee
3. Scientific name(s)
Unknown
4. Number of organisms affected
Unknown
5. Description of site where incident was observed
Fresh water
Terrestrial
Salt Water
6. Check all symptoms that apply
Abnormal behavioural effects
Death
7. Describe symptoms and outcome (died, recovered, etc.).
There were a total of 25 colonies in the bee yard. There were 5 affected colonies. There were 0 - 500 dead bees per colony observed outside of hive. Bees were actively foraging at the time of the incident.Adult bee symptoms included shaking/ trembling/twitching, vomit, regurgitation, and crawling. No brood symptoms were observed; no queen symptoms were observed; Sample of moist soil from wet area, labelled Sample # 4, had positive detects for clothianidin. Sample of dead bees taken from affected hive labelled`Sample # 2, had positive detects for clothianidin, fuberidazole and thiamethoxam. Sample of live bees taken from affected hive, labelled sample #1, had positive detects for clothianidin and thiamethoxam. Samples of live bees taken from unaffected hive, labelled sample # 3, had no detected active ingredients.The weather at the time of the incident was sunny, dry not that windy, warm, normal spray weather. Prior to the incident, there were an average of approx. 8 frames of bees, approx. 5 frames of brood, and approx. 2 with honey/pollen mix. The adverse effects were still occuring at the time of the report. Additional food sources provided to the bees included sugar syrup.In 2012, the following treatments were applied to the hives: formic acid, fluvalinate-tau and antibiotics.In 2013, the following treatments were applied to the hives: formic acid and antibiotics.Information on crops located near the beeyards: 40 ac of corn - Field 1 was unknown distance from the beeyard, and was planted on 2013-05-06, using a conventional method. Pioneer P0118YHR (PPST 250) P9910LR Lot# K3Ch A11146-0 was planted. Other crops in the area included soybean stubble, bush and hay; 400 ac of corn - Field 2 was an unknown distance from the beeyard, and was planted on May 3 - May 6 2013 using a White Air Planter - Positive Air as the planting method . Pioneer (Poncho/Vitivo 1250) Variety P0Z16HR Lot# K3PLY11015-0 Batch#1727959 was planted; No seed Lubricant was used; 20 ac of corn - Field 3, and was planted on 2013-05-07, using a John Deere 1780 (vacuum) as planting method. 35F44 Pioneer (Herleulex Roundup) Treated with PPs250, no seed lubricant used; 50 ac of corn - Field 4 was unknown distrance from the beeyard, and was planted on May 2 - May 4 2013 , using a John Deere 1780 (vacuum) . Pioneer 35F60 (probably treated with PPS250), Seed Lubricant - John Deere Talc (250ml 6 bags) was used; 50 ac of corn - Field 5 was unknown distance from the beeyard, and was planted on 2013-05-07. Dekalb 5262 was used; Corn - Field 6 was unknown distance from the beeyard. Dekalb was used on the crop. Beekeeper reported kill of 300 plus bees.
8. a) Was the incident a result of (select all that apply)
Unknown
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?
Unknown
