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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-4918

2. Registrant Information.

Registrant Reference Number: 1-34568632

Registrant Name (Full Legal Name no abbreviations): Syngenta Canada Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

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

Domestic Animal

4. Date registrant was first informed of the incident.

03-JUL-13

5. Location of incident.

Country: UNITED STATES

Prov / State: ILLINOIS

6. Date incident was first observed.

26-JUN-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. 100-1431

Product Name: Gramoxone 2.0 SL

  • Active Ingredient(s)
    • PARAQUAT
      • Guarantee/concentration 30.1 %

7. b) Type of formulation.

Liquid

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: Soybean

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

Other / Autre

specify Goat

3. Breed

Pygmy

4. Number of animals affected

1

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

>1 wk <=1 mo / > 1 sem < = 1 mois

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

Unknown

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Died

16. How was the animal exposed?

Spray drift / Dérive de pulvérisation

17. Provide any additional details about the incident

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

1-34568632 - The reporter, a pet owner, indicated that his goats were exposed to an herbicidal product containing the active ingredient Paraquat and to other non-registrant products (Glory Herbicide, Valor XLT and Crop Oil Concentrate) with unknown active ingredients. The reporter stated that the product was applied to a nearby soybean field seven days prior to initial contact with the registrant and during application some drift went onto the reporters property which per the reporter caused spots on some of his plant leaves and stunting of some plants. The reporter stated that less than seven days after product application one of his baby pygmy goats died (Subform III #1) and approximately 17 days after product application one of his adult pygmy goats (Subform III #2) died. The reporter did not indicate if the goats had any symptoms prior to their death or if any veterinary care was provided. The reporter did indicate that his other pygmy goats suffered from bloated and inflamed guts but when the reporter was contacted 13 days after initial contact with the registrant he indicated that these goats had received veterinary care and the symptoms had resolved. The reporter was advised that grazing on foliage that had been exposed to gramoxone drift is not recommended but studies have shown that grazing on gramoxone treated foliage is not lethal. The reporter confirmed that it could be coincidence that his goats got sick around the time of the drift. 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

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Other / Autre

specify Goat

3. Breed

Pygmy Goat

4. Number of animals affected

1

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>1 wk <=1 mo / > 1 sem < = 1 mois

11. List all symptoms

System

  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

Unknown

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Died

16. How was the animal exposed?

Spray drift / Dérive de pulvérisation

17. Provide any additional details about the incident

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

1-34568632 - The reporter, a pet owner, indicated that his goats were exposed to an herbicidal product containing the active ingredient Paraquat and to other non-registrant products (Glory Herbicide, Valor XLT and Crop Oil Concentrate) with unknown active ingredients. The reporter stated that the product was applied to a nearby soybean field seven days prior to initial contact with the registrant and during application some drift went onto the reporters property which per the reporter caused spots on some of his plant leaves and stunting of some plants. The reporter stated that less than seven days after product application one of his baby pygmy goats died (Subform III #1) and approximately 17 days after product application one of his adult pygmy goats (Subform III #2) died. The reporter did not indicate if the goats had any symptoms prior to their death or if any veterinary care was provided. The reporter did indicate that his other pygmy goats suffered from bloated and inflamed guts but when the reporter was contacted 13 days after initial contact with the registrant he indicated that these goats had received veterinary care and the symptoms had resolved. The reporter was advised that grazing on foliage that had been exposed to gramoxone drift is not recommended but studies have shown that grazing on gramoxone treated foliage is not lethal. The reporter confirmed that it could be coincidence that his goats got sick around the time of the drift. 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