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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2023-6773

2. Registrant Information.

Registrant Reference Number: 2023-NAB07-4111

Registrant Name (Full Legal Name no abbreviations): BAYER CROPSCIENCE INC.

Address: 160 QUARRY PARK BOULEVARD SE SUITE 130

City: CALGARY

Prov / State: AB

Country: CANADA

Postal Code: T2C 3G3

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. 33700      PMRA Submission No.       EPA Registration No.

Product Name: DECIS 100 EC INSECTICIDE

• Active Ingredient(s)
  • DELTAMETHRIN

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?

Jug-plastic / Cruche-plastique

2. Did packaging failure occur during?

Storage

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.

Jugs at the retailer were discovered to be leaking while in storage, indicated by crystallization on the outside of container. No specific cause was discovered, seems to be isolated. No one was exposed but it could have led to potential exposure.

For Registrant use only

5. Provide supplemental information here.

Jugs never reached the customer and they were disposed of with appropriate precautions.