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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2022-0392

2. Registrant Information.

Registrant Reference Number: Acephate Bee 2022

Registrant Name (Full Legal Name no abbreviations): UPL AgroSolutions Canada, Inc.

Address: 630 Freedom Business Center, Suite 402

City: King of Prussia

Prov / State: PA

Country: USA

Postal Code: 19406

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

Scientific Study

4. Date registrant was first informed of the incident.

5. Location of incident.

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. 27917      PMRA Submission No.       EPA Registration No.

Product Name: ACEPHATE TECHNICAL

• Active Ingredient(s)
  • ACEPHATE

7. b) Type of formulation.

Application Information

8. Product was applied?

Unknown

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 VII: Scientific Study

1. Study Reference

Title Acephate Technical - Toxicity Effects to Adult Worker Honeybees (Apis mellifera L.) after Chronic Oral Exposure under Laboratory Conditions

Date 22-DEC-21

2. a) Is an extension needed to translate the document?

No

3. Type of incident identified in the study

New health or environmental hazard

4. Describe the incident identified in the study (e.g. study demonstrates an increased risk to non-Hodgkin's Lymphoma after exposure to pesticide X)

The final report for acephate chronic oral toxicity to bees report was generated for regulatory use in another country and will bebe submitted to the US EPA under the 6a(2) regulation; therefore, the registrant has decided to submit the study to the Canadian PMRA also. The registrant does not believe there is an increased risk to honey bees based on the results of the study compared to the endpoints in the "Summary of pollinator risk assessment endpoint for acephate" in the Proposed Re-evaluation Decision Document, PRVD 2019-04, as published by the PMRA on May 21, 2019.

5. a) Was the study discontinued before completion?

No

5. b) Provide the reason for discontinuation

6. If the study is ongoing, what is the expected completion date?

For Registrant use only

7. Provide supplemental information here