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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-3610

2. Registrant Information.

Registrant Reference Number: x

Registrant Name (Full Legal Name no abbreviations): x

Address: x

City: x

Prov / State: x

Country: x

Postal Code: X

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

Environment

4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

10-MAY-13

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.

Active(s)

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

Product Name: unknown

  • Active Ingredient(s)
    • CLOTHIANIDIN

7. b) Type of formulation.

Application Information

8. Product was applied?

Unknown

9. Application Rate.

Unknown

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

Site: Unknown / Inconnu

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 IV: Environment (includes plants insects and wildlife)

1. Type of organism affected

Terr. Invrtbrt-Honey Bee/Inv.Ter-Abeille

2. Common name(s)

honey bee

3. Scientific name(s)

Unknown

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

Abnormal behavioural effects

Death

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

There were a total of 24 colonies in the bee yard. There were 20 affected colonies.There were between 0 and 500 dead bees per colony (14 hives) and between 501 and 1000 dead bees per colony (10 hives), the dead bees were observed inside and outside of hive. Bees were actively foraging at the time of the incident. Dead bees had pollen on their legs. Bees were not foraging while the questionnaire was being field in as it was too cold and wet to forage.Adult bee symptoms included shaking/trembling/twitching. No brood symptoms observed.No queen symptoms observed. Sample of dead bees taken from affected hive had positive detects for clothianidin. The weather at the time of the incident was sunny, dry, calm, 18 C. Prior to the incident, there were an average of 7 to 8 frames of bees, 5 frames of brood, and 6 to 7 frames of honey , and 2 frames of pollen. It was too soon after the incident to determine average frames of bees. Additional food sources provided to the bees included sugar syrup. Information on crops located near the beeyards: unknown area of turf farm was at an unknown distance from the beeyard, and was planted at unknown date. An unknown pesticide was used on the crop. Information on crops located near the beeyards: unknown area of dairy farmers was at unknown distance from the beeyard, and was planted at unknown date. An unknown pesticide was used on the crop. Spays for alfalfa weevil was used on the crop located near the bee yard. An unknown pesticide was used on the crop. Information on crops located near the beeyards: unknown area of wheat was at unknown distance from the beeyard, and was planted at unknown date. An unknown pesticide was used on the crop. Information on crops located near the beeyards: unknown area of corn was at unknown distance from the beeyard, and was planted on 2013-05-09. An unknown pesticide was used on the crop. In 2012, the following treatments were applied to the hives: formic acid, antibiotics.In 2013, the following treatments were applied to the hives: amitraz, antibiotics.Sprays for alfalfa weevil; Wheat; Corn was planted on 2013-05-09. Bee keeper reports about 20 of the 24 hives are affected and 12 have failed. He suspects it is stored 2012 pollen and believes there is neonics in the pollen. He is also observing dead, dying bees (approximately 35 per colony) in the surviving colonies since crop planting due to corn dust. There were no flying bees even though the weather and forage was suitable for foraging. 50% of the bees in the colonies were gone, bees were clustered on the brood on a warm day, appeared to be young bees left. The yard was silent, no birds singing in the forest, the bee keeper was very concerned for the health of the yard. The bee keeper had never dealt with any bee loss or damage like this. The colony appeared to be dwindling and dwindling. Bee samples were collected for analysis. Initial call (May 10): noticed on May 9. corn planted (several fields) as recent as May 9.

8. a) Was the incident a result of (select all that apply)

Unknown

8. b) i) How many times has the product been applied this year?

Unknown

8. b) ii) What was the date of the last application?

Unknown

9. Did it rain

9. a) During application?

Unknown

9. b) Up to 3 days after application?

Unknown

10. a) Was there a buffer zone?

Unknown

10. b) What type?

Terrestrial

10. c) What was the size of the buffer zone?

11. a) Were environmental samples collected and analysed?

Unknown

To be determined by Registrant

12. Severity classification (if there is more than one possible classification, select the most severe)

13. Please provide supplemental information here