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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2023-5567

2. Registrant Information.

Registrant Reference Number: 00086588, 00087257

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

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

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: ALBERTA

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.

PMRA Registration No. 30431      PMRA Submission No.       EPA Registration No.

Product Name: Axial

• Active Ingredient(s)
  • PINOXADEN

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?

Other / Autre

specify Tote - plastic

2. Did packaging failure occur during?

Use of Product

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 reporters describe a packaging failure involving a pesticide containing the active ingredient pinoxaden. The reporters described leaking of product from 400L totes (2) with failure reported to have occurred at the point of valve assembly and/or coupler and approximations of 50 -200L of product leakage reported. No exposure or environmental injury was reported.

For Registrant use only

5. Provide supplemental information here.

Annual cleaning and inspections of the totes (valves, seals, o-rings) and regular scheduled replacements (o-rings) for returnable totes conducted as preventative maintenance to ensure quality standards achieved.