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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2021-4055

2. Registrant Information.

Registrant Reference Number: 2021-41

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

Address: 100 Milverton Drive, 5th Floor

City: Mississauga

Prov / State: Ontario

Country: Canada

Postal Code: L5R 4H1

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

Packaging Failure

4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA

Prov / State: SASKATCHEWAN

6. Date incident was first observed.

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.

PMRA Registration No. 28837      PMRA Submission No.       EPA Registration No.

Product Name: Liberty 150

• Active Ingredient(s)
  • GLUFOSINATE AMMONIUM
    • Guarantee/concentration 150 g/L

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 VI: Packaging Failure

1. What is the type of packaging that failed?

Tank tote / Cuve

2. Did packaging failure occur during?

Other

specify The male coupler used to pump the product out of the tote leaked

3. Did packaging failure result in?

potential exposure

4. Describe how the packaging failed and the surrounding circumstances, including a description of the potential injury or exposure.

The male coupler was leaking excessively when hooked up to the female end of tote. It was decided to pump the product from the tote as fast as possible instead of have it leak each time product was extracted. The result was Liberty 150 leaking onto the ground. The grower mentioned around 35-40 L of product had leaked by the time he was able to pump the product out of this particular 432L tote and into barrels for storage.

For Registrant use only

5. Provide supplemental information here.