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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2019-5915

2. Registrant Information.

Registrant Reference Number: 2019-159

Registrant Name (Full Legal Name no abbreviations): Monsanto Canada ULC

Address: 180 Kent Street, Suite 810

City: Ottawa

Prov / State: ON

Country: Canada

Postal Code: K1P 0B6

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

Environment

4. Date registrant was first informed of the incident.

05-JUL-19

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

Unknown

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. 32274      PMRA Submission No.       EPA Registration No.

Product Name: RoundUp Xtend

  • Active Ingredient(s)
    • DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
    • GLYPHOSATE (PRESENT AS ISOPROPYLAMINE SALT OR ETHANOLAMINE SALT)

7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

2.47

Units: L/ha

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

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: Xtend Soy

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

Application at 24 degrees, 21:00 hrs, with affected field down wind and going into an inversion scenario. Wind was blowing towards sensitive soybeans - injury level low. 50 acres impacted. Cupping of soybean leaves. Suspected dicamba drift from neighbour.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?

Yes

Subform IV: Environment (includes plants insects and wildlife)

1. Type of organism affected

Herbaceous Plants / Plante herbacée

2. Common name(s)

Soybean

3. Scientific name(s)

Glycine max

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

Deformities

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

Leaf cupping

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

Wind was blowing towards sensitive soybeans - injury level low.