Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2015-1690

2. Registrant Information.

Registrant Reference Number: DASC130501-00

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.

27-MAY-14

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

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)

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PMRA Registration No.       PMRA Submission No.       EPA Registration No. Unknown

Product Name: unknown

• Active Ingredient(s)
  • AMINOPYRALID

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7. b) Type of formulation.

Application Information

8. Product was applied?

No

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 IV: Environment (includes plants insects and wildlife)

1. Type of organism affected

Herbaceous Plants / Plante herbacée

2. Common name(s)

Tomatoes, potatoes, peas, raspberries, spinach, broccoli, cabbage and cauliflower

3. Scientific name(s)

Unknown

4. Number of organisms affected

Unknown

5. Description of site where incident was observed

Fresh water

Terrestrial

Residential

Salt Water

6. Check all symptoms that apply

Epinasty (leaf wilt)

Stunted vegetative growth

Visible injury ( eg. chlorosis, necrosis, bleaching)

7. Describe symptoms and outcome (died, recovered, etc.).

Curling of stems, 'tight stems', leaf cupping, "alien looking potatoes". Broccoli, cabbage and califlower did not exhibit any symptomology.

8. a) Was the incident a result of (select all that apply)

Other

Alleged that contaminated manure was used in garden and greenhouse

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

Farmer alleges both garden and greenhouse have been exposed to aminopyralid from contaminated manure. The manure was acquired from a neighbour who claims to feed his cattle on hay purchased from another grower. Farmer claims that plants grown in 2013 and 2014 have exhibited symptomology matching online descriptions of aminopyralid contamination.