Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2023-6016
2. Registrant Information.
Registrant Reference Number: FMC58492
Registrant Name (Full Legal Name no abbreviations): FMC of Canada Limited
Address: 6755 Mississauga Road, Suite 204
City: Mississauga
Prov / State: Ontario
Country: Canada
Postal Code: L5N 7Y2
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.
Active(s)
PMRA Registration No. 20213
PMRA Submission No.
EPA Registration No. 279-9579
Product Name: Metsulfuron Methyl Technical
PMRA Registration No. 28572
PMRA Submission No.
EPA Registration No. 279-3181
Product Name: Carfentrazone-Ethyl (F8426) Technical
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 Carfentrazone Ethyl/Metsulfuron Methyl (KW025) 50SG (4:1): A 22-Day Chronic Larval Toxicity Test with Repeated Exposure on the Honey Bee (Apis mellifera L.) in the Laboratory
Date 22-SEP-23
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)
FMC Corp. has sponsored a honey bee larval ecotoxicity study conducted with a formulated blend containing carfentrazone-ethyl (CAS No. 128639-02-1) and metsulfuron methyl (CAS No. 74223-64-6). FMC believes endpoints reached in these studies are reportable under 40 CFR Part 159.165.oints reached in these studies are reportable
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