# EPA Registration Jacket 82542‐16

# . S 

# 8 ° . U R DYNAMICS 

# f:

June 

### 6,2009 Document Processing Desk Office of Pestidde programs (P7504C) Environmental Protection Agency Room S-4900, One Potomac Yard (South Building) 2777 S. Crystal Drive Arlington, VA 22202 Attn: Venus Eagle, Insecticide-Rodenticide Branch, Registration Division (7505P) 

### Dear Ms. Eagle:

# .~**~5"'-/;)** 

# -/&> Subject Technicallmidacloprid: EPA Reg. No. 85242-16: Final Printed Label 

### lVnn

# '\'?' Thank you for your Notice of Pesticide Registration dated AprilS, 2009. Please find enclosed a final printed label and Form 8570-1. Sincerely,

Rufus Bastian, President Source Dynamics LLC rbastian@soJerasd.com



## TeL 480.502.9289 10039 

## E. Troon North Drive Scottsdale, AZ 85262 ", 

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## Fax 480.502.9268Print Form**Plea.~"H"** 

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... 10,. amJJI 

# '1 farm • form Approved. f "No. 2070.0080 Unitad Stato.

# ~ Registration opp Idantifiar Numbor 

# &EPA Environmental Protection Agency Amendment Washington, DC 20460 

## Other Application for Pesticide

- Section I 1. Comptlny/Product Numbar 2. EPA Product Mansgsr 3.**Propo.~** C1allifiCiltion 82542-16 Venus EaQle 

# o None 

# D Ro,triot-.d 

### 4. CompanylProduct (Nama) PM'

Technicallmidacloorid 

### 1 5. Name .Ild Addre

.. of App/ICilnt (Include ZIP Cotto) 

### 6. Expedited Review. 

### In accordance with 

### FIFRA Section 31cH31

SourceDynamics 

### llC 

### (bJPI, 

## mv product is similar or Identical 

### In composition 

### and labeling to: 10039 

### E. Troon North Drive, Scottsdale, 

### AZ 85262 

### EPA Reg. No. 

# D Check if

### this is.

### n.wIddrDS$ Product 

### Name 

## Section

- II 

# D Amanclmant _Explain below. 

# 0 Final printed label. In raspon,a to 4/8/09 Agancy loner d.tad 

# D RHubmlasion In ".pon

..to Agency I.nar dated 

# D -Me Too· AppliCiltion, 

# D Notifioation

- Explain below. 

# D Oth.r

- Explain below, Explanation: Use addition41 p.galallfnec.... ry. (For section I and Section ll.) Submission offinalprinted label



## Section

- III 1. Matan.! ThiI Product WiD Ba Packaged In: Child·Resi5tant Packaging Unit Packaging Water Solubla Packaging 

### 2. Typo of Contlllner

# [~r·· r Vaa

# ~ V

..

# §~'. X N. 

# Ix N. N. Plutic Gla

.. 

### • Certiliclltion must II "Va.- No. per If

# -v.,- No. per Pepar Unit P.ckaging wgt. container Package wgt container Other ISpecify) 

### lHI $ubm/ttfld 

# , 3. Location ofNet Contana Information 4. Sb:ols) Retail Containar 5. Location of Lebel Directions



# 0 

# o Conteinat not retail

### ~ Onlebol 

# ..... On labeling accompenying product 6. Manner in Which Labella Affixed to Product 

# iK= Uthograph 

# 0 Oth" Paper p'!uad Stonci od

## Section· IV 1. Contact Point (Complere "-ms diractlyba/owfor fr/lMrificetion offndividuel to be conracred, HntlCeuary, to proCf»U thit; lJPPHc.tion.) 

### N_ Title Telephone**IlAp~** liiWIwia Area Code) Rufus 8astian President**480-S02~92M'** , j > , > 

## , Certification 6 . 

# ..,ata Application I certify that the statem.ntG I have made on thir: form and all anachment5 th.r.to ora truo, eccurata end complata. Raoilved 

### '»'" 

## , , , I acknowledge that any knowinglv fohla or misloading stetement InDV bepunjlhebl. by fina or imprisonmant or ; , , i!iumpetl' 

## , both ulld.r appliclblo law. 

### , 

# . . , , , 

## , , , 2. Signetura 3.Title ,)' 

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## , , , , , President 

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, 

### " 4. Typad Name 5. Data 

### , , '" ' Rufus 8astian 

### " June 6, 2009 

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# . . EPA Form 8570-1 (Rn. 8-94) PreVIous adltion. are obsoleta• Whha • EPA flit, Copy loriglnal) V.llow

- AppUcant Copy

## NOT REVIEWED In 

## Accordance with PR Notice 82-2 Based on Draft Labeling Dated 

## A 

# IMIDACLOPRID TECHNICAL FOR MANUFACTURING USE ONLY
ACTIVE INGREDIENT Imidacloprid: 1-!(6-chforo-3-pyridinyl)melhyl]-N-nitro-2-imidazolidinime

......... .............". 

# . .. ,

### .. .... ......99.0% OTHER INGREDIENTS.

........ ......... ........ 

### ............ ... 1.0% TOTAL

..... ....... .......... ........ 

### ................. ..... 

### ............. 

### ....... ..................... 100.0%


## KEEP OUT OF REACH OF CHILDREN 

# CAUTION

..**~** -,**~-** 

### FIRSTAID 

# · Call apoison OOl1trol center Ofdoclofimmediately for lrealment adllice. Ifswallowe<l: 

## • Have person sip aglass atwater itable to swalow. 

## • Do not**ind~n;:~~~n!ess** loW 10 do so by a poison control centerordoctor. 

## • Do notJlive an' mouth to an unOOnsclOllSperson. NOTE TO PHYSICIAN No specific antkWte is available, Treat the patientsymptomatically. HIJT LINE NUMBER Have the product containeror label with you wilen camng**a~~~&I)fl** controi centerordoctor, orgoing !Oflreatment. Yo" rna also COIltact C!Iem!reG at 1-949·753-4723 for en mooical trea!ment intiJmlalion. 

# re...**~~** 

# solera

Manufactured for: Source Dynamics

## ue EPA Reg. No. 82542-16 10039 E. Traon North Drive EPA Est No. Scottsdale,AZ 85262 Net Contents: 20 kgs Phone {480) 218-4289

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, ")PRECAUTIONARY STATEMENTS HAZARDS TO HUMANS AND DOMESTIC ANIMALS CAUTION Harmful**~** swailoWf.l(!, WasillhOrotlghly with SOap and water aller handling and before eating, dlinking, or using tobacoo, Wear loog-slee\'13d shirt and long pants, socks, shoes and chemical resistanl QiOllllS made of any walerproof fI1llteriai such as bailie! laminale, butyl rubber, nilrile rubber, neoprene rubber, nalural ruboor, polyethylene, poIyvin)1chtoride (PVC) or

...1011. ENVIRONMENTAL HAZARDS This product 1s highly toxic to aqualic inl'llrtebrales. Keep Ou! of lakes, streams, or pOods. Do flof di3Charge effluenl o:mtaining this product ink! lakes, streams, ponds, estuaries, oceans, or other willers unless in accordance with the requirements 01 a Nalional Pollu1ail1 Discharge Eliminalion Systsm (NPOES)**perm~** and Ihe permitting authorfty has been**no~ftacl** in wriling prior 10 discharge. 00 nol discharjle effiuenl conlaining !his product to sewersystems wilhool previously flofifying the local sewage trll<itmenl planl authority. Forguidance, conlacl your State Waler Board or Regional 0Illce ofthe EPA. DIRECTIONS FOR USE II is aviolation of Federal law 10 use this producl in a manner Incoosislentwith Its labeling. This product is to be used only forformulation into registered**insec~dde** products and is nol for resale under Ihis label. InstructiOllS fo FClIllula!ors: This technical product may be used to manulacture insecticide en(!.ure p!Oc1Jcts for. f) Terreslrial Non-foocl Crop, Residential and Commercial Outdoor Oncluding Greenhouses): lawn, turfend ornamentals in and around res'der1ial orcommerclal bUilding., 2) Residential and CommerciallndoorNon·Food: Greenhouseomamenlals 3): Terreslfial Non-food Crop Use, Oomestic Indoor&OuldoorUse: companiOllarnmols. 4) Uses for which U. S. EPA has accepted !he required data andior c!lalion of data lhallhe formulalor h<ls submitted in sUpporfofregistralion; 5) Uses for experimental purposes thai are in COIIlpiiance with U.S. EPA requirements; and 6) Terrestrial Food Crops, lndudlng:**Ba~ey** Head and Stem Brassica vegetables Bushbemes C<1nola Citrus (o:mtainerized and field) Co"", Cranbemes Fruiting Wgetables GraJ:(!S**P~M** Pome Fruits Polalll (including seed piece Ireatmenl) Rool vegetables Slrawoorrles Stone Fruit Sugarbeel**T~** Tuberous and Corm Vegetables 2

, 

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"Gm", GrOOl1house Vegetables {tomato, cucumber) 

# H"" Leafy Petiole vegetables Leafy Vegetables Legume vegetablS8 Tuberous and Corm Vegetables Tropica1 Fruits 

# 0."**R~** Sorghum Wheat 

### STORAGE AND DISPOSAL Do notOOI1taminatewater, food orfeed by storage ordisposal. PESTICIDE STORAGE: Store ina cool, dry plaooawayfrom food, drink and animal feeding slulfs. Ifspilled, do not fiush to waterways (see EnvifOllIJ\OOtal Hmf(!sj, CarefuUy correct and cootainerize spliled material in a malll1er thai produces lhe least amount of airborne dust Suitable protecUve equipment Should be wom**du~ng** any sp! doonup op!!RIlion (see Precaulionary Stalellll!nls). Residual sllfface material may be removed with towels moistened with methanol. PESTICIDE DISPOSAL: Pasticid\lwasles are acutely hazarOOus. Wastes resulting from the use olthls product may be disposed ofon site orat an approved wi:ll>1e disposal faolity. CONTAINER DISPOSAL: Completely empty liner by shaking llIId tapping sides and bottom to loosen dinging particles. Empty residue into processing equipment Then dispose of liner in asanitary landfill or by incineration if allowed by stale and local authorities. Ifdrum is contaminated and**~nnot** be mused, dispose all in the manll!!l" required !of Its liner,

WARRANTY STATEMENT: IMPORTANT NOTICE
- Sellerwarrants that this product conforms to the chemical desc(rption and is reasonably fit for purposes stated on the label when used in accordance with the directions and instructions under normal conditions of use; but neither this warranty nor any other warranty of merchantability or fitness for a particular purpose, express or fmplied, extends to !he use contra!)' to label instructions, or under abnormal conditions. oruooer conditions not reasonably foreseeable to seller, and 10 the extent consistent with applicable law, !he buyer assumes the risk ofany such use.

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# Material to be added to an e-Jacket/Jacket Reg. No. 

# f'**,icJf(;t-~** Description:__________________ _ 1. 0 

# Placementwithin the e-Jacket/jacket: o Default: (chronological, top 

# = newest) o File Location: (PDF page number, i.e., "before page 

# 45")

2. 0 

# Send to Data Extraction contractors this material: 

# ti Newly stamped accepted label o Notification o NewCSF o Other: 3. Attach this coversheetto the top ofthe material orjacket. It must be well organized and clipped together, NOT STAPLED. Then give the material with this coversheet to staff In the Information Services Center (Room S-4900). 

# Reviewer's Name:

# cxt~-**01?~** Phone: 

# 7fjJ 

# Jc:JS-sY'o'l Division: 

# M Date: 

# dfH-/ ( c2.a' 

# f'

Created August 19,2008**#\~f..o S7"~"**  

# ,- EPA Reg. Date ofIssuance: 

## i 

# A**~**

# ~~W Number: 

# '", ;;.r

'It PRO'It: U.S. ENVIRONMENTAL PROTECTION AGENCY 

## 82542-16 Office ofPesticide Programs Tenn ofIssuance: 

## Conditional Registration Division (H7505P) 1200 Permsylvania Avenue NW 

# , Name ofPesticide Product: Washington, D.C. 20460 

## Technical Imidacloprid NOTICE OF PESTICIDE: 

# ..x...- Registration

_ Reregistration (under FlFRA, as amended)
Name and Address ofRegistrant (include ZIP Code): 

## Mr. Rufus Bastian Source Dynamics LLC 10039 E. TroonNorth Drive Scottsdale, AZ 85262

Note:

# ,CiWiges'in1abeling:~~~:~"~~ceJf6~ that

# ~~~in**~~~n ~tJ'~'~s~tion~\;&;~bmi~fu:;~d**  adeptedbythe 

### .. '

## Re~stration Division

## pri~ to

# usk ofthe

## la~lfu.'

## ~·~~e. Inany

## oorre~Pornknc~,**~',~:'pt;>d~ci al~~yS'** **#~ ~**  the

## abov~,EPA

## ~:nration number.
Onthe basis ofinfomtation fumished by the registrant, the above namedpesticide is hereby registered/reregistered under the Fedemllnsecticide, Fungicide and Rodenticide Act. 

# , Registration is in no way tobeconstmed as an endorsement orrecommendation ofthis product bythe Agency. In order toprotect health and the environment, the Administrator, onhis motion, may at anytime suspend orcancel the registration ofa pesticide in accordance with the Act. The acceptance ofanyname in connection with the registration ofa product lUlder this Act is not to be construed as giving the registrant a right to exclusive
use ofthe name or 10 its use ifit hasbeen covered byo1hers. 

## This product is conditionally registered inaccordance with FIFRA sec. 3(c)(7)(A). Once a pesticide is registered, however, it is not regarded as permanently acceptable. Registration does not eliminate the need for continual reassessment of pesticides. Ifthe Agency determines that, at any time, additional data are required to maintain in effect an existing registration, theAgencywill require submission ofsuch data under FIFRA section (3)(c)(2)(B). 1. 

## Revise the EPA Registration Number to read, EPA Reg. No. "82542-16". Signature <:fApproving Official: Date; 

# vCt/t;UL4

# t~,-- APR 0 82009 Venus Eagle Insecticide-Rodenticide Branch Registration Division 

### (7505P)



## EPA Fonn 8570-6

## Page Two 82542-16

2. On page 1 add the company's telephone numberunderneath the address. Also on page 1 fill in the "Net Contents" quantity (e.g., quarts, gallons, etc.). 3. On page 3 under theheading "Warranty Statement" revise the last sentence to read: "

... seller, and

...to the extent consistent with applicable law, the buyer assumes the risk ofany such use". 4. Within eighteen months ofthe date ofthis registration, submit to the Agency the required one year storage stability study (830.6317) for the proposed product underwarehouse conditions. The corrosion characteristics study (830.6320) may be carried out concurrently. 

## It is recommended that observations bemade at 0, 3, 6, 9, and 12 months be submitted within the 18 month timeframe. Provided the above required data is submitted bythe holder ofthe parent registration the above requirement for this registration will 

## not be necessary by Source Dynamics LLC. 5. Submit two copies ofyour final printed label before you release the product for shipment. Ifthese conditions are not complied with, the registration will be subject to cancellation in accordance with FIFRA section 6(e). Yourrelease for shipment ofthe product constitute acceptance ofthese conditions. A stamped copyofthe label is enclosed for your records. Ifyou have any questions regarding this notice contact Dani Daniel at 703**305~5409.**



# , 

# ..Source Dynamics draft 12124/2008 

# TECHNICAL IMIDACLOPRID FOR MANUFACTURING USE ONLY

ACTIVE INGREDIENT Imidacloprid: 1-!(6-chloro-3-pyridinyl)me1hyl]-N-nitro-2-lmldazolldinime

.. ....... ........................................99.0% OTHER INGREDIENTS

............... 

# ........... ................. ................ ....... .........................1.0% TOTAL

... ... ..................... .................. ....... ......................... ,.,

# . ................. ........... 100.0%

...•.. " 

### . ..............., , 

## KEEP OUT OF REACH OF CHILDREN 

# CAUTION

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Ifswallowud: 

### • Ciifii**~AlD** 

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## • I I centerordoclor. I NOTE TO II 

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I

EPA Reg. No. 82542-

Manufactured for:

# ~ I .f, Ofgoing fortreatment. Yoo

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### .. , . ... '""." .... ".. "
. EPA Est No. Net Contents

Source Dynamics LLC 10039 E. Troon North Drive Scottsdale, AZ B5262

1


### ACCEPTED With COMMENTS In EPA Letter Dated:



# APR 0 82009 Underthe Federallnsecticlde, Fungicide and Rodenticide Act As amended) for the pestiCide Registered under EPA Reg. No:

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### ,PRECAUTIONARYSTATEMENTS HAZARDS TO HUMANS AND DOMESTIC ANIMALS CAUTION Harmful ifswaUowed. Wash Uloroughly with soap and water allerhandung and beforeealing, drinXing, or usiog tobacro. WeB! long-sieeved s/llrtand Ioog paots, wcks, shoes and chemical resistant gloves made ofany walerproof malenal such as barrier lamioete, butyl rubt>er, nitrite rubber, neoprene rubt>er, nalural rubber. polyelhyleoe, poIyvinyichioode (PVC) or vilOO. ENVIRONMENTAL HAZARDS This product is highly toxic to aqualic 10liertebrates. Keep out of lakes, 

### streams, or poods. Do oot discharge effiuant cootaining this product iOto lakes, streams, ponds, estuaries, oceans. or other waters unless io accordaoce with the requiremanls of a Natiooal Pollutant Discherge 8imioation System (UPDES) permit aOd tile permitting wthority has booo notified io writiog priorto discharge. Do 001**d~harge** efflueotcontaining this product to sewersystemswithoot previously notif)ing the local sewage trS'ltment plant autllOrity. Forguidance. contactyourStaleWaterBoard orRegional**~**ofthe EPA. DIRECTIONS FOR USE It is aviola!i£m ofFaderallaw to use t!1iS product io amannerinconsistent wilh its labeling. This product is to be used only furfurmulatioo inlo registered insecticide products aOd is notfor resale underthis label. lostroctiooslo FOTmu!atCf$: This techoical producl may be used to manufa.::wre Insecticideend·use productsfur: I) TeIT6Slrial Non-Food Crop, RIlSidential and CommefCtatOuldoor**~nc1udlng** GlWOllooses): lawn, turfand omamenlals 10 aOd around rI!S[dential orcommefCfai buildings; 2) Resio"eoUal and CornmerciallndoorNon-food: Greenl!rnJ!'leornamentals 3): Terrestrial Non-food Crop Use, Domesticlnooor& Ouldoor Use: compaoioo aoimals. 4) Uses 1m which U, S. EPA has acceplBd lhe required data and/or dt8tlon of dala that the forrnulalorhas submitted io supportofr€\jlstratioo; 5) Usesforexperimental purposes thatare io compliance with U.S. EPA requir<llllenls; and 5) Terreslriai Food**Crop~,** including: Bartey Head and Stem/3mssica Vegelab!es Bushbenies Caoola CitruS (containerized and field) 

# "'""" Cranberries FruilingVegelab!es Grapes**p~"** Pome Fruits Polato (iOduding seed piece lreatm!:!l!) RootVegetables Strawberries Stooe Fruit Sugarbeet Tobmro Tuberous and Corm Vegetables 2

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### "Grapes Greenhouse vegelables (tomalo. cucumber) Hops Leafy Petiole Vegetables Leafyvegeta!lles LegumeVegetables Tuberous and Corm vegetables Tropical Fruits 

# 0,. R", Sorgnum Wheal 

### STORAGEAND DISPOSAL Do nol rontaminate water. 1000 or feed bystorall\lordlspooal. PESTICIDE STORAGE: Storn in acool, dIY place awayfrom food, drink and animal feeding sluffs. Ifspilled. do not nush 10 waterways (see Envlronmenlal Hazamsj. Carefullyrollect 8IJ(! ronlainertze splJed matetlal in amanner Ihal produces the !easl amount of airbome dust Suitable pmtecli\'e equipmenl should be- IWm during eny spil cleanup operation (see PrecautionaIY Stalements). ResIdual surface malerial may be remOV8{! with towels molstenet! with methanol. PESTICIDE DISPOSAL: Peslicidewastes are aculBly hazardous. wastes resulting from the use ofthis product may be diSposed of011 sile orat an approve<! wasle disposal loc:IIily. CONTAINER DISPOSAl: Completely errtj'!ty Imer by shaking and tapping sides and bottom to loosen ciinging particles. Empty residue into processing equipment Then dis[X)Se of finer in a sanitaIY landfirr or by incineration**~** allowed by slate and local authorities. If drum is contaminated allCl canoot be reused. dispose of il in the manner required forlls liner.

WARRANTY STATEMENT: IMPORTANT NOTICE _Sellerwarrants that this product confonns to the chemicat description and 15 reasonably fit for purposes stated on the label when used in accordance with the directions and instructions under nonna! condifions of use: but neltherthis warranty nor any ofherwarranty of merchantability orfitness for a particular purpose, express or implied. extends to the use contrary to label insfructions, or under abnonnat conditions, or under

condifions not reasonably foreseeable to seiter, and buyer assumes the risk ofany such use.

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# PRIA 2'- 21 Day Content Screen Review Worksheet (EPA/OFP Use Only) 4/9/08

21 Day Screen Start Date: 

# t6/0 '7 Experts**In~Processing** 

### Signature: (. 

# h£ Fee Paid: Yes I Divisionmanagement contacted on issues No 

## I' Yes 

# r Date



## ------ EPA Reg. Number: 

# 8""J;ryz. -J<J'j-" 

### EPA ReceiptDate: 

## Itemsfor Review Yes No 

## N/A* Application Form 

### (EPA Form**8S70~**

### 1) signed & 

### complete including package 

# r r type
dated (EPA Form 8570-4) 

# r r 2 

### a) All 

### inerts, except fragrances, approved for food and non food Ves 

## No proposed uses (see Footnote A) 

# r r 3 

## Certification with Respect to Citation ofData (EPA Form 8570-34) 

# r r completed and signed 

### (NIA 

### if 100% repack) 

### Certificate and data matrix consistent 

# r r r If

### applicant is relying on data that are compensable, is the offer Ves 

## No to pay statement included. (see Footnote B) 

# r r is there a letter ofAuthorization for exclusive use 

# r r r
4 Formulator's Exemption Statement 

### (EPA Form 8570-27) completed and 

# r r signed (N/A 

### ifsource is unregistered or applicantowns the technical) Data Matrix 

### (EPA Form 8570-35) both internal and external copies (PR 98-5) 

# r r V and i if 

### 100% 5 Selective Method experts use) b) Cite-All (Fee category experts use) 

# r r c) Applicant owns all data (Fee category experts use) 

# r r 6 of Label {Electronic labels on CD are encouraged 

### 7 Is the data consistent with PR Notice**86~5** 

# r r 8 Notice ofFiling {linkto included with petitions 

# r r r

### 9 Ifapplicable for conventional applications, reduced risk rationale 

## Required Data and/ordata waivers. See Footnote C.

a) List study (or studies) not included with application

10



### Comments:



# * N/A
- Not Applicable

### Footnotes 

### A. This consideration does not apply to PRIA applications that include a request to approve an inert in the fee category. For these PRIA 

### actions, information needs to be submitted to enable the Agency to review the inert approval request and will be a subject ofthe 21 day content screen. For other types ofactions and for fragrances, the anSwer is only for the Agency's information and current policies, processes, and procedures should be consulted. This worksheet willbeupdated in the future to be consistent with 

### current policies. Ifbrand, trade, orproprietary names are being used for some inert ingredients listed on the eSF, alternate names oradditional information on the nature ofthe ingredient(s) should be provided to allow the Agency to determine whether the inert has been approved. B. 

### A policy on documentation ofoffers to pay is still being developed, however, for a me-too or fast track (sirnilar/identical) new product, R300 orA530, an application without the necessary authorizations ofoffers to 

### pay will be placed into either R301 or AS31. The Agency recommends that authorizations ofoffers to 

### pay be submitted with otherPRIA applications to avoid delays in the Agency's decision.
e. Refer to the list ofdata requirements. Biopesticide applicants were advised to contact the Agency and discuss study waivers prior to submitting their application to the Agency. Documentation ofsuch discussions should be submitted with the study waiver.

3

### UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, D.C. 20460



## January 6, 2009

OPP DecisionNumber: D-404484 EPA File Symbol orRegistrationNumber: 82542-RA ProductName: TECHNICALIMIDACLOPRID EPA Receipt Date: 02-Jan-2009 EPA CompanyNumber: 82542 Company Name: SOURCE DYNAMICS, LLC RUFUS BASTIAN SOURCE DYNAMICS, LLC 10039 E. TROON NORTH DRIVE SCOTTSDALE, AZ 85262- OFFlCEOF PREVENTION, PESTICIDES AND TOXIC SUBSTANCES



## SUBJECT: Receipt ofRegistration Application Subjectto Registration Service Fee DearRegistrant: The Office ofPesticide Programs has received your application and certification of payment. 

## Ifyou submitted data with this application, the results ofthe PRN-86-S screen will be communicated separately. Duringthe administrative screen, the Office ofPesticide Programs has detennined that this Action is subject to a Pesticide Registration Service Fee as defined in the Pesticide Registration hnprovement Act. TheActionhas been identified as Action Code: R300 NEW PRODUCT;ME-TOO PRODUCT FAST TRACK; No additional payment is due at this time. If

## you have any questions, please contactthe Pesticide Registration Service Fee Ombudsman at (703) 305-6249. Sincerely,

o 

## gy & Resources ManagementDivision

# IFee 

# for Servicel 

# y{{842468HThis package includes the following for Division

C!J 

# New Registration °AD °Amendment °BPPD C!J 

# RD 

# °Studies? 

# °Fee Waiver? 

# OJ Dvolpay 

# % Reduction: Risk Mgr. Receipt No. 

# s-I 842468 

# I EPA File Symbol/Reg. No. 

# I 82542-RA 

# I Pin-Punch Date: 

# I 1/2/2009 

# I D This item is NOT subject to FFS action.



# . 

# - Parent/Child Decisions:

JII 

## II:: • 

# Requested: / 

# v8;D Granted: 

# K2enJ Amount Due:

# $'136S~ 

# r Uncleared Inert in Product Date

# :-'-!----'CP4--'-

# FEE 

# FOR SERVICE

### REGNR CONAME TREASDEPNR FMDAMOUNT DNUMBER 082542 TERRY STOJIC 99DC90244 00001365 24V63UVD 082542 TERRY STOJIC 99DC90244 00001365 24v63VJO 082542 TERRY STOJIC 99DC90244 00001365

# 24V63VSF~ 082542 TERRY STOJIC 99DC90244 00001365 24V640Bl 082542 TERRY STOJIC 99DC90244 00001365 24V640IG 082542 TERRY STOJIC 99DC90244 00001365 24V6404KPrint Form "-#.,..d**,,~."fo.** form. 

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# 1. OMB No. 2070-0060 United State.

# ~ Registration opp Identifier Number 

# &EPA Environmental Protection Agency Amendment W

••

hlngton, DC 20460 

## Other

Application for Pesticide

- Section I 1. Company/Prociuct Number 2. EPA Product M.negar 3. PtopG.od Cla

.. ification 82542-x 

# R1\ Venus Eaale 

# 0 NOrMI 

# D Restriated 4. Compeny/Product (Nam.) PM'

Technicallmidacloorid 

### 01 5.Name and Addre

.. of**Appll~nt** f/neW. ZIP Codflf 6. Expedited Review. In accordance with FIFRA Section 3{c)(31

SourceDynamics LLC (blUl, my product 

### is similar or identical In composition and labeling 

### to, 10039 E. Troon North Drive, Scottsdale,AZ 85262 EPA Reg. No. 

# o Chfi:Jr. H this i$. nuw .ddt.u Product Name 

## Section

- II 

# D Amendment

- Explflin betow. 

# D Final printed lab.l. In response to Ag.ncy I.nar dat.d 

# D Re'ubmill.ion In rellponlle to Agency letter dated 

# D**~MfI** Too" Application. 

# D Notification

- Explain below.

# ~ Oth'r

- Explain below. Exp{anation: U.a IIdditionBi pogels) if nac.... ry. (For .ection Iand Saction H.) Registration application for a new end-use product. This is a 100% repackofa registered end-use product.



## Section

- III 1. Material1his Product Will Bet Packaged In: Child-Resistant Packaging Unit Packaging Wat.r Solubia P.ckaging 2. Typa ofContainar

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### CortirlClltion must If**"Yee~** No. por If**~Ye.·** No. par Paper Unit Packeging wgt. canteiner Package wgt eonteinar Other ISp.cify) 

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### $ubmltted I 3. locution ofNot Content. Information 4. Size(s) ReteU Contelner 5. location of lablM Oir.ction.



# 0**~** ConhHnur 1 quart 

# Ei3 On Label Lob. On L.abGlfng .ccompanying product 6. Manner in Which label i. A.ffixad to Produot 

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# '"'--**N.~** Title Tji.uone Nd. (lnbi'ude Area Code) Rufus Bastian President '480-502-9289 • 1**~** , " > Certification 6. [Jr.'!,}**~ppliClltion** I(lllrtify that the stetamants I have made on this form and all anachments thereto are tNa, accurAta and complete. 'RecaNod 

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## , , Iacknowledge thet any knowinglV farse or misleadino statemont mev ba punieheble by fina or impriaonment or ' , (Stamped) both undel appUcablo law.

## 2'S"",,"~~~ 3. Title President 4. TvPed N8ITII 5. Date

Rufus 8astian December24,2008 EPA Form 8570--1 (Rev. 8-94) Previous edltH!nS ell obseleto. WhIt. • EPA Fu. Copy lorI;lnall Yellow" AppUc.nt Copy

### December24,2008 Document Processing Desk (APPL) Office of Pesticide Programs (P7504P) Environmental Protection Agency Room S-4900, One PotomacYard (South Building) 2777 S. Crystal Drive Arlington, VA 22202 Attn: Venus Eagle (PM 01) Dear Ms. Eagle: Subject Technicallmidacloprid: Registration Application Source Dynamics LLC wishes to applyfor the registration ofa new end-use product, Technical Im·ldacloprid. This is a 100% repack ofa registered product. In support of this application we have enclosed the following: Application for Pesticide Registration (8570-1) Confidential Statement of Formula (8570-4) Formulators Exemption Statement (8570-27) Proposed label (6 copies) 

### We have concluded that this regulatory action falls in PRIA II Category R300, forwhich a fee of $1365 is required. Documentation of payment is provided. Thank you for your consideration ofthis project. Please contact me 

### if you have any questions. Sincerely,

Rufus Bastian, President Source Dynamics LLC rbastianllc@cox.net



## Tel. 480.502.9289 10039 E. Troon North Drive 

## Scottsdale,AZ 85262 )" 

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## Fax 480.502.9268Form approved. OMB No. 2070-0060, 2070-01.._., 2070-0107,2070-0122, 2070-0164. 

# &EPA United States Environmental Protection Agency Washington, DC 20460 

## Formulator's Exemption Statement (40 CFR 152.85)
Applicant's Name and Address EPA File Symbol/Registration Number 

## Source Dynamics LLC 82542-x 

# • 10039 E. 

## Troon North Drive Product Name 

## Scottsdale, AZ 85262 Technical Imidac10prid
Date of Confidential Statement of Formula (EPA FOI11l 857Q-4)



### 12/24/2008 As an aulhorized representative oftM applicant for regislration ofthe product identified above, I certify that (1) This product contains thefollowing active ingredient(s): 

## imidac10prid

(2) Ofthese, each active ingredient listed in paragraph (4) is present solely as the result ofthe use ofthat active ingredient in the manufacturing, formulation or repackaging another product which contains that active ingredient which is registered under FIFRA Section 3, is purchased by us from another person and meels the requirements of 40 CFR section 158.50(e)(2} or (3). (3) Indicate by checlting (A) or (B) below Which paragraph applies:
71 (A) An accurate Confidential Statement of Formula (EPA FORM 8570-4) for the above identified producl is attached to this stalement. That formula statement indicates, by company name, registration number, and product name, the source ofthe active ingredient(s) listed in paragraph (1). 

### OR 

### I (B) The Confidential Statement of Formula (CSF)(EPA Form 8570-4) referenced above and on file with the EPA is complete, current an accurate and contains the information required on the current CSF. (4) The following active ingredients in this product qualify for the formulator's exemption.
Source 

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# /-/~-£-:. Name and Title Date 

# q:? Rufus Bastian, President 12124/2008



## - - EPA Form 8570 27 (Rev. 06 2004) Copy 1 EPA Copy 2 - Applicant copy