Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2020-1969

2. Registrant Information.

Registrant Reference Number: ProPharma Group case #: 1-61292373

Registrant Name (Full Legal Name no abbreviations): Syngenta Canada Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

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

Environment

4. Date registrant was first informed of the incident.

06-JUN-20

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)

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PMRA Registration No. 33573      PMRA Submission No.       EPA Registration No.

Product Name: MIRAVIS ACE FUNGICIDE

• Active Ingredient(s)
  • PROPICONAZOLE
  • PYDIFLUMETOFEN

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7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: wheat

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

1-61292373 - The reporter stated that over a period of several days, he sprayed over 700 acres of wheat which was not in flower. Honeybees were never observed in the fields. A non-company product NIS surfactant ("Activate") was applied at the same time.

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.).

1-61292373 - The reporter, a farmer, indicates use of a pesticide containing the active ingredients propiconazole and pydiflumetofen. An unknown number of days before the day of initial contact with the registrant, the reporter applied the product according to label directions to his wheat field that was not in flower. An unknown number of days later, a commercial honeybee operator with 20-30 hives located on the farm site an unknown distance adjacent to the treated field, indicated to the farmer that half of the bees had died. The farmer reported that honeybees were never observed in the field.

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

Application

N/A

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?

Yes

10. b) What type?

Terrestrial

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

11. a) Were environmental samples collected and analysed?

No

To be determined by Registrant

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

Major

13. Please provide supplemental information here