Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2014-1952
2. Registrant Information.
Registrant Reference Number: DAS130614-00
Registrant Name (Full Legal Name no abbreviations): Dow AgroSciences Canada Inc.
Address: Suite 2100, 450-1st Street S.W.
City: Alberta
Prov / State: Calgary
Country: Canada
Postal Code: T2P 5H1
3. Select the appropriate subform(s) for the incident.
Environment
4. Date registrant was first informed of the incident.
14-JUN-13
5. Location of incident.
Country: CANADA
Prov / State: SASKATCHEWAN
6. Date incident was first observed.
15-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. 29651
PMRA Submission No.
EPA Registration No.
Product Name: PrePass XC A Herbicide
PMRA Registration No. 29652
PMRA Submission No.
EPA Registration No.
Product Name: PrePass XC B Herbicide
- Active Ingredient(s)
- GLYPHOSATE (PRESENT AS DIMETHYLAMINE SALT)
7. b) Type of formulation.
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: orchard
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
An applicator was spraying PrePass next to an orchard and the product drifted approximately 70 feet into the orchard. The owner believed the wind velocity was approx 50 km/hr, however, the applicator indicated that the winds were 35 km per hour. The owner contacted the applicator around May 23rd when he noticed symptoms.
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
Trees or shrubs / Arbre ou arbuste
2. Common name(s)
Saskatoon trees
3. Scientific name(s)
Unknown
4. Number of organisms affected
Unknown
5. Description of site where incident was observed
Fresh water
Terrestrial
Agricultural
Salt Water
6. Check all symptoms that apply
Abnormal leaf discoloration
Reduced emergence
Reduction in seed or fruit yield
Visible injury ( eg. chlorosis, necrosis, bleaching)
7. Describe symptoms and outcome (died, recovered, etc.).
It is unknown if the product was used according to the label instructions. The owner noticed signs of browning and leaf curling within days of the application. As it was applied during preblossom, the saskatoon trees did not bloom. The owner contacted the applicator around May 23rd when he noticed symptoms.
8. a) Was the incident a result of (select all that apply)
Drift
N/A
8. b) i) How many times has the product been applied this year?
8. b) ii) What was the date of the last application?
9. Did it rain
9. a) During application?
No
9. b) Up to 3 days after application?
No
10. a) Was there a buffer zone?
No
10. b) What type?
10. c) What was the size of the buffer zone?
11. a) Were environmental samples collected and analysed?
No
To be determined by Registrant
12. Severity classification (if there is more than one possible classification, select the most severe)
Minor
13. Please provide supplemental information here