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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2023-6108

2. Registrant Information.

Registrant Reference Number: FMC60292

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.

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 279-9625

Product Name: TRAVALLAS

• Active Ingredient(s)
  • FLUROXYPYR (PRESENT AS 1-METHYLHEPTYL ESTER)
  • METSULFURON-METHYL
  • THIFENSULFURON-METHYL

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

Product Name:

• Active Ingredient(s)

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 Fluroxypyr Meptyl/Metsulfuron Methyl/Thifensulfuron Methyl (SGE27) OD (40:1:6): Effects on Reproduction of the Predatory Mite Hypoaspis aculeifer in Artificial Soil

Date 22-AUG-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 one (1) ecotoxicity study conducted with a formulated blend containing thifensulfuron methyl (CAS No. 79277-27-3) and metsulfuron methyl (CAS No. 74223-64-6). FMC believes endpoints reached in this study 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