Health Canada
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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2020-3179
2. Registrant Information.
Registrant Reference Number: 2020-19
Registrant Name (Full Legal Name no abbreviations): BASF Canada Inc.
Address: 100 Milverton Drive, 5th Floor
City: Mississauga
Prov / State: Ontario
Country: Canada
Postal Code: L5R 4H1
3. Select the appropriate subform(s) for the incident.
Environment
4. Date registrant was first informed of the incident.
22-JUL-205. Location of incident.
Country: CANADA
Prov / State: ONTARIO
6. Date incident was first observed.
20-JUL-20Product 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. Unknown
Product Name:
- Active Ingredient(s)
- DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
7. b) Type of formulation.
Application Information
8. Product was applied?
Unknown
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 IV: Environment (includes plants insects and wildlife)
1. Type of organism affected
Herbaceous Plants / Plante herbacée
2. Common name(s)
Soybeans
3. Scientific name(s)
Glycine max
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
Visible injury ( eg. chlorosis, necrosis, bleaching)
7. Describe symptoms and outcome (died, recovered, etc.).
Grower believes that the soybean damage was likely from Dicamba drift from a neighboring field. The entire 80 acre field had damage such as rows are not growing as wide, and plants are not as tall. The crop has curled, puckered leaves and is not growing as quickly or as well as his other soybeans in a different field that were planted at the same time. Grower was not able to get more information about the product used, application rate, spray date etc.
8. a) Was the incident a result of (select all that apply)
Drift
N/A
8. b) i) How many times has the product been applied this year?
8. b) ii) What was the date of the last application?
9. Did it rain
9. a) During application?
No
9. b) Up to 3 days after application?
No
10. a) Was there a buffer zone?
No
10. b) What type?
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)
Minor
