Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2021-3701

2. Registrant Information.

Registrant Reference Number: 28240

Registrant Name (Full Legal Name no abbreviations): Douglas Products and Packaging Company, LLC

Address: 1550 East Old 210 Hwy

City: Liberty

Prov / State: MO

Country: The United States of America

Postal Code: 64068

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

Domestic Animal

4. Date registrant was first informed of the incident.

16-JUN-21

5. Location of incident.

Country: UNITED STATES

Prov / State: FLORIDA

6. Date incident was first observed.

22-JAN-21

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. 28240      PMRA Submission No.       EPA Registration No. 1015-78

Product Name: VIKANE

• Active Ingredient(s)
  • SULFURYL FLUORIDE
    • Guarantee/concentration 99.8 %

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7. b) Type of formulation.

Other (specify)

Fumigant

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Res. - In Home / Rés. - à l'int. maison

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

This application was reviewed by the FDACS (Florida authorities) and found to be in compliance.

To be determined by Registrant

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

Yes

Subform III: Domestic Animal Incident Report

1. Source of Report

Other

2. Type of animal affected

Cat / Chat

3. Breed

unknown

4. Number of animals affected

3

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

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.

No

14. a) Was the animal hospitalized?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Died

16. How was the animal exposed?

Other / Autre

specify A review by FDACS did NOT assign these deaths to the fumigation. This is an allegation from a neighbor.

17. Provide any additional details about the incident

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

WSVN-Miami had a news piece on June 16 and 17 regarding the alledged death of cats during fumigation performed in Miami, and indicated that the city was aware of it, but doing nothing about it. This alledged event took place on or about January 22, 2021. I reached out to FDACS representativeand was informed that they answered a consumer complaint, by a resident adjacent to the fumigated property. The animals were not found deceased after the fumigation, and in fact were discovered 11 days later away from the treated structure. The adjacent resident accused the fumigation company, however FDACS investigated but could not determine the cause of death, and no fines or charges were made against the fumigator. The fumigator reviewed the label directions with the building management prior to the fumigation and it was inspected for animals prior to the introduction. During the procedure, the crew did not see evidence of any animals, and has since then collaborated with the building management and the organization SobeCat.com, a group the consumer belongs to, in order to continue fumigation of additional structures in the complex with no adverse affects. The news report stated that there were other deaths, and used stock footage of representative tarped structures and fumigation vehicles, along with a blurred fumigation sign in their telecast as part of their video.

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To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification

Death

19. Provide supplemental information here

Douglas Products is reporting this because someone alleged the cats died due to a fumigation. The Florida authorities did NOT find evidence the cats died due to the fumigation. In fact the cats were found 11 days later and were not close to the application site.