U.S. EPA, Pesticide Product Label, CLEAN CROP AMINE 4 2,4 ...
[Pages:6]Pf~ase re _.d instructions on reverse before completinq form.
i United States
Form AJ1Ilfoved. OMB No. 2070-0060. Approval expires 11?30-93
0 Registration
opp Identifier Number
I EPA
Environmental Protection Agency
0 Amendment
I
Washington, DC 20460
X Other
i
I
Application for Pesticide -Section I
1 Company/Product Number
34704-120
2. EPA Product Manager
Miller
3. Proposed Classification
0 None
0 Restricted
4 Company/Product (Name) Clean Crop Amine 4 2.4-0 Weed Killer
PM#
5 Name and Address of Applicant (fncfude ZIP Code)
Loveland Produc~lnc.
PO. Box 128b Greeley, CO 80632
0 Check if this is a new address
6. Expedited Review, In accordance with FIFRA Section 3(c)(3)(b)(i), my product is similar or identical in composition and labeling to:
EPA Reg. No.
Product Name
l/eo
0 Amendment? Explain Below 0 Resubmission in response to Agency letter dated 0 Notification ~ Explain below
Section II
'Wtlr','c 0 Final printed labels in response to Agency letter
I Ai/ON
0 "Me Too" Application
0 Other - explain below
NOV 2 9 2003
Explanation: Use additional page(s) if necessary. (For Section I and Section II). Notification of addition of Alternate Brand name, Amine 4 2,4-
o Weed Killer, per PR-Notice 98-1 OThis notification is consistent with the provisions of PR Notice 98-10 and EPA regulations at 40
CFR 152.46, and no other changes have been made to the labeling or the confidential statement of formula of this product I understand that it is a violation of 18 U.S.C. Sec. 1001 to willfully make any false statement to EPA. I further understand that if this notification IS not consistent with the terms of PR Notice 98-10 and 40 CFR 152.46, this product may be in violation of FIFRA and I may be subject to enforcement action and penalties under sections 12 and 14 of FIFRA.
Section III
1 Material This Product Will Be Packaged In:
Child-Resistant Packaging
0 Yes? 0 No
Unit Packaging
0 Yes 0 No
?sCu gmrtifiitf.eaJ/on must be
If "Yes " Unit Package Wt.
No. Per Container
Wa~r Soluble Packaging o Yeo o No
II "Yes '
Package Wt.
No. P~r Container
2. Type of Container
0 Metal 0 Plastic o Glass
B POatRe.err(Specify)
3 Location of Net Contents Information
0 Label
o Container
4. Size(s) 01 Retail Container
5. Location of Label Directions 0 On Label 0 On Labeling accompanying product
6. Manner In Which Label Is Affixed To Product
0 lithograph 0 Paper Glued 0 Stenciled
0 Other (
Section I V
)
, , ,( ' ( ' ( I
1 Contact Point (Complete items directly below for identification of individual to be contacted, if necesssry. to process this applicatll)'1"I, : ,
Name
? .. ? Glenda Haage
Title Registration Manager
? TelephJ' (l~
No<
(Include Ar"?. Code)
, ?
.. .. Certification
- ? ? t , ~ " 1
? 6. Dale AOQlication
I certify that the statements I have made on tnis form and all attachments thereto are true, accurate and complete.
Received'
?... I acknowledge that any knowingly false or misleading statement may be punishable by fine or imprisonment or both"?: ~ ?
?..... under applicable law.
(Stamped)
??? . 2 Signature
:l ................
................
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