Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2022-6221

2. Registrant Information.

Registrant Reference Number: AgCall_08_2022

Registrant Name (Full Legal Name no abbreviations): Bayer CropScience Inc.

Address: Suite 200, 160 Quarry Park Boulevard SE

City: CALGARY

Prov / State: AB

Country: Canada

Postal Code: T2C 3G3

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

Environment

4. Date registrant was first informed of the incident.

17-JUN-22

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

03-JUN-22

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: Roundup

• Active Ingredient(s)
  • GLYPHOSATE

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PMRA Registration No. 33619      PMRA Submission No.       EPA Registration No.

Product Name: FIRSTRATE HERBICIDE

• Active Ingredient(s)
  • CLORANSULAM-METHYL

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

Product Name:

• Active Ingredient(s)

---

7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: Soybean

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

Products were applied to soybeans of 1st trifoliate stage. No other information regarding source field application available.

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)

Grapes

3. Scientific name(s)

Vitis vinifera

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

Visible injury ( eg. chlorosis, necrosis, bleaching)

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

Grape farmer applied Roundup at up to maximum rate according to label, Authority or Alion applied at labeled tank mix rate. Applied these for weed control around April 26-May 7. Grapes are about 20 years old. Grower concerned that roundup drift from adjacent soybean field has affected some grape plants. Grapes were just coming into bloom at time of field visit, leaves are crinkling (damage was mainly to new growth). Symptoms noticed June 3rd and June 10th (field 1 and 2 respectively). Total field acres: Field 1= 15 acres, field 2= 50 acres. Approximately 1 acre of Field 1 and up to 3 acre on field 2 affected. Lacking detailed information regarding drift concerns such as distance from source field, pattern etc.

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