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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2015-2233
2. Registrant Information.
Registrant Reference Number: x
Registrant Name (Full Legal Name no abbreviations): x
Address: x
City: x
Country: 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.
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: Admire
- Active Ingredient(s)
- IMIDACLOPRID
PMRA Registration No. PMRA Submission No. EPA Registration No.
Product Name: Dithane
- Active Ingredient(s)
- MANCOZEB
PMRA Registration No. PMRA Submission No. EPA Registration No.
Product Name: Cabrio
- Active Ingredient(s)
- PYRACLOSTROBIN
PMRA Registration No. PMRA Submission No. EPA Registration No.
Product Name: Echo
- Active Ingredient(s)
- CHLOROTHALONIL
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).
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
Only one insecticide used: Admire in drip irrigation @ 100ml/ac in the 2nd week of June. Admire is for control of cucumber beetles. Other pesticides used: Dithane (june applied), Cabrio, and Echo (rotated carbio & echo). watermelon field adjacent to bee yard.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
Reproductive impairment
7. Describe symptoms and outcome (died, recovered, etc.).
There were a total of 20 colonies in the bee yard. There were 20 affected colonies. Additional food sources provided to the bees included pollen supplement (spring). In The spring, formic acid pads were applied at and in the fall apistan was applied. In the spring the antibotic oxtetracycline was applied to the hives. Bees were actively foaging when the questionnaire was being filled out and a lack of foagers are returning to the hive. There were 0-500 dead bees observed outside of each hive. there are no adult symptoms observed. Brood symptoms included overall decline in brood production. Queen symptoms included emergency/supersedure queen cells. Additionally, queens are not lasting as long as they should. so far xxx has lost 7 queens out of 48 hives. July + august was cooler and wetter than normal.
8. a) Was the incident a result of (select all that apply)
Drift
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?
10. c) What was the size of the buffer zone?
11. a) Were environmental samples collected and analysed?
No
