Initial to indicate certification as to information on this page

(full text of certification is on page one).

Date

INSTRUCTIONS: Please type or print in ink. Please read carefully the attached instructions and supply the information requested on this form. 

Use additional sheet(s) if necessary.

2. Case # and Name 3. Date and Type of DCI and Number

4. EPA Product 

Registration

5. I wish to cancel 

this product 

registration 

voluntarily

6. Generic Data 7. Product Specific Data

6a. I am claiming a Generic Data 

Exemption because I obtain the 

active ingredient from the source 

EPA registration number listed 

below.

6b. I agree to satisfy Generic Data

Requirements as indicated on the 

attached form entitled 

"Requirements Status and 

Registrant's Response."

7a. My product is an MUP and I 

agree to satisfy the MUP 

requirement on the attached form

entitled "Requirements Status and

Registrant's Response."

7b. My product is an EUP and I 

agree to satisfy the EUP 

requirement on the attached form 

entitled "Requirements Status and 

Registrant's Response."

OMB Approval 2070-0174

1. Company Name and Address

 

0024 - Boron sodium oxide (B4Na2O7), pentahydrate

Chemical # and Name: 011110

Boron sodium oxide (B4Na2O7), pentahydrate

22-Sep-2010

GENERIC

ID # GDCI-011110-910

United States Environmental Protection Agency

Washington, D.C. 20460

DATA CALL-IN RESPONSE

Page of 1 1

8. Certification: I certify that the statements made on this form and all attachments are true, accurate, and complete. I acknowledge that any

knowingly false or misleading statement may be punishable by fine, imprisonment or both under applicable law.

Signature and Title of Company's Authorized Representative ______________________________________________________

10. Name of Company

N/A N/A

9. Date

11. Phone Number 
Initial to indicate certification as to information on this page (full text of certification is on page one) 

13. Phone Number

10. Certification: I certify that the statements made on this form and all attachments are true, accurate, and complete. I acknowledge that any 

knowingly false or misleading statement may be punishable by fine, imprisonment or both under applicable law.

12. Name of Company

11. Date

OMB Approval 2070-0174

United States Environmental Protection Agency 

Washington, D.C. 20460

REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE

INSTRUCTIONS: Please type or print in ink. Please read carefully the attached instructions and supply the information requested on this form. Use additional sheet(s) if necessary.

4. Guideline

Requirement

Number

5. Study Title Progress 

Reports

1 2 3

6. Use 

Pattern

7. Test 

Substance

8. Time

Frame 

(Months)

9. Registrant

Response

P

R

O

T

O

C

O

L

1. Company Name and Address 2. Case # and Name 3. Date and Type of DCI and Number

Signature and Title of Company's Authorized Representative _________________________________________________________________

 

Nontarget Plant Protection Data Requirements (Conventional 

Chemical)

Terrestrial and Aquatic Nontarget Organisms Data 

Requirements (Conventional Chemical)

850.4225

850.4250

850.4400

850.5400

850.1300

850.1400

850.2100

850.2300

Seedling emergence, Tier II

Vegetative vigor, Tier II

Aquatic plant toxicity test using Lemna spp. Tiers I 

and II

Algal toxicity, Tiers 1 and II

Daphnid chronic toxicity test

Fish early-life stage toxicity test

Avian acute oral toxicity test

Avian reproduction test

0024 - Boron sodium oxide (B4Na2O7), pentahydrate

Chemical # and Name: 011110

Boron sodium oxide (B4Na2O7), pentahydrate

22-Sep-2010

GENERIC

ID # GDCI-011110-910

K,O,CC,J,B,A,BB,M,Q,L

K,O,CC,J,B,A,BB,M,Q,L

K,O,CC,J,B,A,BB,M,Q,L

K,O,CC,J,B,A,BB,M,Q,L

K,O,CC,J,B,A,BB,M,Q,L

K,O,CC,J,B,A,BB,M,Q,L

K,O,CC,J,B,A,BB,M,Q,L

K,O,CC,J,B,A,BB,M,Q,L

TEP

TEP

TEP or TGAI

TEP or TGAI

TGAI

TGAI

TGAI, TEP

TGAI

12

12

12

12

12

12

12

24

Page 1 of 

(6)

(6)

(5, 7)

(1)

(11)

(8, 9)

(2)

(10)

N

N

N

N

N

N

N

N

2
Date

OMB Approval 2070-0174

United States Environmental Protection Agency 

Washington, D.C. 20460

REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE

INSTRUCTIONS: Please type or print in ink. Please read carefully the attached instructions and supply the information requested on this form. Use additional sheet(s) if necessary.

4. Guideline

Requirement

Number

5. Study Title Progress 

Reports

1 2 3

6. Use 

Pattern

7. Test 

Substance

8. Time

Frame 

(Months)

9. Registrant

Response

P

R

O

T

O

C

O

L

1. Company Name and Address 2. Case # and Name 3. Date and Type of DCI and Number

 

Toxicology Data Requirements (Conventional Chemical)

870.3465

870.6200

870.7600

870.7800

90-day inhalation toxicity

Neurotoxicity screening battery

Dermal penetration

Immunotoxicity

0024 - Boron sodium oxide (B4Na2O7), pentahydrate

Chemical # and Name: 011110

Boron sodium oxide (B4Na2O7), pentahydrate

22-Sep-2010

GENERIC

ID # GDCI-011110-910

K,O,CC,J,B,A,BB,M,Q,L

K,O,CC,J,B,A,BB,M,Q,L

K,O,CC,J,B,A,BB,M,Q,L

K,O,CC,J,B,A,BB,M,Q,L

TGAI

TGAI

CHOICE

TGAI

24

12

24

12

Page 2 of 

(4, 12)

(13)

(3)

N

N

N

N

2
United States Environmental Protection Agency 

Washington, D.C. 20460

FOOTNOTES AND KEY DEFINITIONS FOR GUIDELINE REQUIREMENTS

0024 - Boron sodium oxide (B4Na2O7), 

GDCI-011110-910

1

2

3

4

5

6

7

8

9

Key: Residue of Concern = Residue of Concern; TEP = Typical End Use Product [TEP]; TGAI = Technical Grade Active Ingredient [TGAI]; TGAI/PAIRA = Technical Grade of the Active Ingredient or Pure Active 

Ingredient, Radio Labelled; TGAI, TEP = Technical Grade of the Active Ingredient or Technical End-Use Product; TGAI/PAI = Technical Grade Active Ingredient, Pure Active Ingredient

Tier II study required.

Study must be conducted on passerine species.

Required if toxic effects are identified in the oral or inhalation study. A risk assessment assuming that dermal absorption is equal to oral absorption must be performed to determine if the study is

required, and to identify the doses and duration of exposure for which dermal absorption is to be quantified.

Required if there is the likelihood of significant repeated inhalation exposure to the pesticide as a gas, vapor, or aerosol.

Required if an aquatic species exhibits a 50 percent or greater detrimental effect in Tier 1.

Required for known phytotoxicants such as herbicides, desiccants, defoliants, and plant growth regulators.

Not required for contained pesticide treatments such as bait boxes and pheromone traps unless adverse effects reports are received by the Agency.

Freshwater species required.

Data are preferred on rainbow trout. If fathead minnow (Pimephales promelus) is used, a 96 hour LC50 on that species must also be provided.

Case # and Name:

DCI Number:

Page: 1 of

Footnotes: The following footnotes are referenced in column two (5. Study Title) of the Requirements Status and Registrant's Response form. 

These footnotes apply in addition to any test notes included in 40 CFR Part 158 with respect to the particular data requirement.

Use Categories Key:

A - Terrestrial food crop

B - Terrestrial feed crop

J - Forestry use

K - Residential

L - Indoor food use

M - Indoor nonfood use

O - Residential Indoor use

Q - Residential outdoor use

BB - Wood preservatives

CC - Swimming pools

2
United States Environmental Protection Agency 

Washington, D.C. 20460

FOOTNOTES AND KEY DEFINITIONS FOR GUIDELINE REQUIREMENTS

0024 - Boron sodium oxide (B4Na2O7), 

GDCI-011110-910

10

11

12

13

Key: Residue of Concern = Residue of Concern; TEP = Typical End Use Product [TEP]; TGAI = Technical Grade Active Ingredient [TGAI]; TGAI/PAIRA = Technical Grade of the Active Ingredient or Pure Active 

Ingredient, Radio Labelled; TGAI, TEP = Technical Grade of the Active Ingredient or Technical End-Use Product; TGAI/PAI = Technical Grade Active Ingredient, Pure Active Ingredient

Data are preferred on mallard and bobwhite quail.

Data are preferred on Daphnia magna.

Based on estimates of the magnitude and duration of human exposure, studies of shorter duration, e.g., 21 or 28-days, may be sufficient to satisfy this requirement. Registrants should consult 

with the Agency to determine whether studies of shorter duration would meet this requirement.

All 90-day subchronic studies in rats can be designed to simultaneously fulfill the requirements of the 90-day neurotoxicity study using separate groups of animals for testing. Although the 

subchronic guidelines include the measurement of neurological endpoints, they do not meet the requirement of the 90-day neurotoxicity study (guideline 870.6200).

Case # and Name:

DCI Number:

Page: 2 of 2
United States Environmental Protection Agency 

Washington, D.C. 20460

LIST OF ALL REGISTRANTS SENT THIS DATA CALL-IN NOTICE

Case # and Name: 0024 - Boron sodium oxide (B4Na2O7), 

Page: 1 of 1

1624 U.S. BORAX INC.

Co. Nr. Company Name Agent For Company

DELTA ANALYTICAL 

CORPORATION

12510 PROSPERITY DRIVE, SUITE 160

Address City ZIP

SILVER SPRING 20904 

OMB Approval 2070-0174

State

MD

 DCI Number: GDCI-011110-910
LINKS TO FORMS:

The pesticide registration forms that are listed below can be found at:

http://www.epa.gov/opprd001/forms/

Link to Confidential Statement of Formula and Instructions (Form # 8570-4)

http://www.epa.gov/opprd001/forms/8570-4.pdf

Certification of Attempt to Enter Into an Agreement With Registrants for 

Development of Data (Form # 8570-32)

http://www.epa.gov/opprd001/forms/8570-32.pdf

Certification With Respect to Citation of Data (Form # 8570-34)

http://www.epa.gov/opprd001/forms/8570-34.pdf