Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-3668

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: QUEBEC

6. Date incident was first observed.

07-AUG-13

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)

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

Product Name: unknown

• Active Ingredient(s)
  • CARBENDAZIM
  • COUMAPHOS

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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

Death

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

Au total, le rucher comptait 11 colonies. Il y avait 2 colonies touchées et 0 colonie morte. On a observé 0 - 500 abeilles mortes a l'extérieur de la ruche. Les abeilles butinaient activement lorsque l'incident est survenu. Actuellement peu d'entrée de nectar, plusieurs apiculteurs notent du pillage preésentement, mais dans ce cas ci le producteur dit qu'il n'y a aucun signe de pillage. Que des abeilles mortes en grande quantité devant les deux nucléi. La population a beaucoup baissé.Aucun symptom de couvain. Aucun symptome de reine.L'échantillon d'abeille morte prélevé dans une ruche affectee a permis de détecter la présence de carbendazim, coumaphos, dicyclomet. Au moment de l'incident, les conditions météorologiques étaient ensoleillé, 20-25C. Avant l'incident, Information sur les cadres d'abeilles non disponible. L'apicultuer n'a pas ouvert les ruches atteintes cadres d'abeilles. Après l'incident, les maladies ou les infestions d'organismes nuisibles indiqués précédemment ne sont pas aggravées. Des sources supplémentaires d'aliments ont été fournies aux abeilles, y compris sirop de sucre. Renseignements sur les cultures situées près des ruchers : grandes surfaces tout autour du rucher de situé(s) à 500 m du rucher.

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?

Aquatic

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