REGISTRATION

64240-66 
Material to be added to an e~JacketlJacket 

Reg. No. 0t;-2to-06 

DescriPtion: __ -,-f\J=~-,' ~~ _____________ _ 

1. ~ac~ent within the e-Jacket/jacket: 

2. 0 

~ Default: (chronological, top = newest) 

o File location: (PDF page number, Le., "before page 

45") 

Send to D~a·Extraction contractors this material: 

~ Newly stamped accepted label 

o Notification 

~ NewCSF 

o Other: _____________ _ 

3. Attach this coversheet to the top of the material or jacket. 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: ~~ 

Phone: 60S:,Dt£S Division: --..l=W= 

__ _ 

Date: 3/U /10 

Created August 21, 2008 

1
UNIrED STATES ENVIRONMENTAL PROTECTION AGENCY 

WASHINGTON, D,C, 20460 

November 24, 2009 

OPP Decision Number: D-423710 

EPA File Symbol or Registration Number: 64240-AA 

OFFICE OF 

PREVENTION, PESTICIDES AND 

TOXIC SUBSTANCES 

Product Name: COMBAT QR ROACH KILLING GEL BAIT STATION 

EPA Receipt Date: 23-Nov-2009 

EPA Company Number: 64240 

Company Name: COMBAT INSECT CONTROL SYSTEMS 

Georgia Anastasiou 

LEWIS & HARRlSION LLC 

COMBAT INSECT CONTROL SYSTEMS 

CIO HENKEL CONSUMER GOODS INC. 

122 C STREET, N.W., SUITE 740 

WASHINGTON, DC 20001-

SUBJECT: Receipt of Registration Application Subject to Registration Service Fee 

Dear Registrant: 

The Office of Pesticide Programs has received your application and certification of 

payment. If you submitted data with this application, the results of the PRN-86-5 screen will be 

communicated separately. During the administrative screen, the Office of Pesticide Programs 

has determined that this Action is subject to a Pesticide Registration Service Fee as defined in 

the Pesticide Registration Improvement Act. 

The Action has been identified as Action Code: R300 

NEW PRODUCT;ME-TOO PRODUCT FAST TRACK; 

No additional payment is due at this time. 

lfyou have any questions, please colltact the Pesticide Registration Service Fee 

Ombudsman at (703) 305-6249. ' 

Sincerely ~ ~"-4-~/ :J? nd P cessin aff 

~nforrnatio Tec¥, Resources Management Division 

G/i/ 

2
IFee for Servicel f862927F-

----------. 

This package includes the following 

@ New Registration 

° Amendment 

[] Studies? [] Fee Waiver? 

for Division 

OAD 

oBPPD 

@RD 

Risk Mgr. OIJ ------_._-------------------------_. __ ! 

.. __ .._----_ ........... _._---_.;:::::..... .~-===:=::~ -_ .. _ ....._----., 

Receipt No. s-I 862927 

-_ ... _ ... 

EPA File Symbol/Reg. No. 1 64240-AA 

Pin-Punch Date: 1 11/23/2009 

This item is NOT subject to FFS action. 

-- --ft\ctimTCo-de~------ [ParenVChil-d-D-eciSiOOs:-!, 

Requested: ~ 

Granted: dcJ7) 

I Amount Due: $ ;3(:-;- -:: . 

J2~ !ifqLM:Ec! "/LApYc 425/-LYJ_J- --.... ----.. --.--.-----........ ---. 

)1 Inert Cleared for Inten ed Use [] Uncleared Inert in Product 

Date: ~ /;P;(r. Reviewer:-,L--t-________ _ 

Remarks: 

3
PRIA 2 - 21 Day Content Screen Review Worksheet 

(EPA/OFF Use Only) 

3/23/09 

21 Day Screen Start Date: __ -,-I ,-1--,,~,-,3,,:----,;O,-'f,---_____ ---c 

Experts In-Processing Signature: f11 F HI'1IlAINGTOU Date J; .... Z <;'--07 Fee Paid: Yes/ 

D' IVlSlon . . man age men t contacted on issues No Yes Dat e 

EPA Reg. Number: CL/ZL(O-AIJ EPA Receipt Date: 1/-7.3-09 

Items for Review Yes No N/A* 

1 Application Form (EPA Form 8570-1 )(link to fom1) signed & complete 

X including package type 

Confidential Statement of Formula all boxes completed, form signed, and X dated (EPA Form 8570-4) (Link to form) 2 a) All inerts (link to http://www.epa.gov!opprdOOl/inertsl), yes no 

including fragrances, approved for the proposed uses (see 

Footnote A) X 

3 Certification with Respect to Citation of Data (EPAFOITIl 8570-34) (Link to 

form) completed and signed (N/A if 100% repack) ;xCertificate and data matrix consistent XIf applicant is relying on data that are compensable, is the offer yes no 

to pay statement included. (see Footnote B) 

If ~pplicable, is there a letter of Authorization for exclusive use only. 

Formulator's Exemption Statement (EPA Ponn 8570·27) (Link to fonn) 

4 completed and signed (N/ A if source is unregistered or applicant owns the )( teclmical) 

Data Matrix (EPA Form 8570-35) (Link to fonn) both intemal and external 

copies (PR 98-5) (Link to PR 98-5) completed and signed (N/A if 100% 

repack) X 

5 yes no 

a) Selective Method (Pee category experts use) 

b) Cite-All (Fee category experts use) X ;,,' 

yiJ~) c" ,le'- "eo 

" 

c) Applicant owns all data (Pee category experts use) 

5 Copies of Label Oink to httQ:llwww.eQa.gov/oQQfeadlllabeling/lr!!!l) 

6 (Electronic labels on CD are encouraged and guidance is available)( link to 

http://www.epa.govJpesticides/regulatingJregisteringJsub m isslonsli ndex. h tm#label s X 

) 

1 

4
-

7 Is the data packaoe consistent with PR Notice 86-5 (link to PRN 86-5) X 

Notice of Filing (link to 

8 httI!::I/www.cUa.gov!Qesticides!regulatinRitolerance Qetitions.htm) included 

with petitions (link to X, 

http://www.epa.gov/pesticides/regulating/tolerances.htrul 

9 

If applicable for conventional applications, reduced risk rationale Qink to K http://Vt''''t'w.epa.gov!opprdOOl/workplanJreducedrisk.html) 

Required Data (link to 

h ttQ: / /"' ...... vw. c123.g0 v IQcstici des/regula tin V data reg uiremen ts.h tro) and! 0 r 

data waivers. See Footnote C. 

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

10 

2 

5
Comments: 

* N/A - Not Applicable 

Footnotes 

" ','-.. ' • '"._n, / ic- ':. "; 

A. During the 21 day initial content review, all eSFs will be reviewed to detennine 

whether all inerts listed, including fragrances, are approved for the proposed uses. If an 

unapproved inert is identified, the applicant must either 1) resolve the inert issue by, for 

example, removing the inert, substituting it with an approved inert, submitting 

documentation that EPA approved the inert for the proposed pesticidal uses, cOlTecting 

mistakes on the eSF, etc. or 2) provide the data to support OPP approval of the inert or 3) 

withdraw the application. Removing or substituting an inert ingredient will require a new 

eSF and may require submission of data. All infonnation_ founs. data and 

documentation resolving the inert issue must have been received by the Agency or the 

application withdrawn within the 21 day period, otherwise. the Agency will reject the 

application as described below. 

To successfully complete this aspect of the 21 day initial content screen, applicants are 

strongly encouraged to verify that all inert ingredients have been approved for the 

application's uses even if'a product is currently registered by consulting the inert Web 

3 

6
site [link to http://www.epa.gov!opprdOOI/inertsllists.html] and if the ineli is not 

approved, to obtain the necessary inert approval prior to submitting an application 

to register a pesticide product containing that inert ingredient. Some ineli 

ingredients are no longer approved for food uses or certain types of uses. The name 

and/or CAS number on a CSF must match the name and CAS number on this web site. 

Simple typographical errors in the name or CAS number have resulted in processing 

delays. 

Ifan inert is not listed on the inert ingredient web site and the applicant believes that the 

ineli has been approved, the applicant should contact the Ineli Ingredient Assessment 

Branch (HAB) at inelisbranch@epa.gov and resolve the issue. Copies of the 

correspondence with HAB resolving the issue should accompany the application. All 

new inerts except PIP inelis are reviewed by HAB. The IIAB should also be contacted 

for any questions on what supporting data needs to be submitted for and the Agency's 

ineli review process. Questions on PIP inerts should be directed to the Chief of 

Microbial Pesticides Branch [Link to 

http://www.epa.gov/oppbppdlibiopesticides/contactsbppd.htm ]. 

\\'hen a brand, trade, or proprietary name of an inert ingredient is listed on a CSF, 

additional infonnation such as an alternate name ofthe ineli, CAS number or other 

infonnation [link to http://www.epa.gov/opprdOOlJinerts/tips.pdflmust also be included 

to enable the Agency to determine if it has been approved. Each component of an inert 

mixture (including a fragrance) must be identified. In some cases, the supplier of the 

mixture or fragrance may need to provide this information to the Agency. Prior to the 

Agency's receipt of an application, applicants must arrange with a proprietary mixture or 

fragrance supplier to provide the component information to the Agency or promptly upon 

EPA's request. If the inert ingredients in a proprietary blend (including fragrances) 

cannot or are not identified or provided within the 21-day content review period, the 

Agency will reject the application. 

During the 21 day content review, applicants should submit information to the individual 

identified by the Agency when the applicant is infonned of an unapproved inert. 

Unapproved Inerts Identified on CSFs 

All applications except conventional new products and PIPs 

Once an unapproved inert is identified on a CSF, the Agency will contact the 

applicant with the following options: 

1. Correct the application by, for instance, correcting the inert's identity or CAS 

number, providing documentation that the ineli has been approved, or 

removing the unapproved ineli from the CSF or replacing it with one that is 

approved for the application's uses; or 

2. Submit the infonnation and data needed for the Agency to approve the 

unapproved ineli. If this option is selected and implemented, the Agency may 

request an extension in the PRIA decision review timeframe to accommodate 

the inert review/approval process; 

4 

7
3. Withdraw the application (the Agency retains 25% of the full fee for the fee 

category estimated); or 

If none of these options is selected and implemented by the applicant within the 

21 day content review period, the Agency will reject the application and retain 

25% of the full fee of the category identified. 

Conventional New Product Applications 

When the Registration Division identifies an unapproved inert on a CSF with an 

application for a new product that the applicant has not identified as requiring an 

inert approval (R311, R3l2 or R313), it will contact the applicant with the 

following options: 

1. Correct the application by, for instance, correcting the inert's identity or CAS 

number, providing documentation that the inert has been approved, or 

removing the unapproved inert from the CSF or replacing it with one that is 

approved for the application's uses; or 

2. Submit the information and data needed for the Agency to approve the 

unapproved inert, including any required petition to establish or amend a 

tolerance or exemption from a tolerance. (This option may change the PRIA 

category for the application, which could require a longer decision review 

time and a larger fee. If additional fees are due, they must be received by the 

Agency within the 21 day content review period.) 

3. Withdraw the application (the Agency retains 25% of the full fee for the fee 

category estimated); or 

If none of the above options is selected and implemented during the 2I-day 

content-review period, the Agency will reject the application and retain 25% of 

the appropriate fee for the new product-inert approval category. 

PIP Applications 

When the Biopesticide and Pollution Prevention Division identifies an 

unapproved inert on a PIP CSF and a request to approve the inert does not 

accompany the application, it will contact the applicant with the following 

options: 

1. Correct the application by, for instance, correcting the spelling or name of the 

inert to that in 40 CFR 174, or providing documentation that the inert has been 

approved; or 

2. Submit the infonnation and data needed for the Agency to approve the 

unapproved inert. If an inert ingredient tolerance exemption petition is 

required, the petition must be received by the Agency and the 8903 fee paid 

within the 21 day period. If this option is selected and implemented, the 

Agency will discuss hannonizing the tirneframe for both actions. 

5 

8
3. Withdraw the application (the Agency retains 25% of the full fee for the fee 

category estimated); or 

If none of the above options is selected and implemented during the 21 day 

content review period, the Agency will reject the application and retain 25% of 

the fee. 

B. A policy on documentation of offers to pay is still being developed, however, for a 

me-too or fast track (similar/identical) new product, R300 or A530, an application 

without the necessary authorizations of offers to pay will be placed into either R301 or 

A531. The Agency recommends that authorizations of offers to pay be submitted with 

other PRIA applications to avoid delays in the Agency's decision. 

c. Biopesticide applicants are advised to contact the Agency and discuss study waivers 

prior to submitting their application to the Agency. Documentation of such discussions 

should be submitted with the study waiver. 

6 

9
. ' .. 

I SB 'S Front-end PRlA Completeness Screen 

Dratl3; 10/25107 

'" ~--.~--.~--

EPA Receipl Date: NUV 2 3 2009 EPA Reg. Number: (,1/ Jl/ 0 

, 

3 

, 

, 

(, 

7 

X 

') 

· .~ 

Check List Item · 

I-las lhe PRIA Fcc been Paid; is a copy of the check or 

111ly.gov receipt included in the Submission Package? ~ .----~-~ 

Is (]" Appliclltioll Form (EPA rorm 8570-1) Included in the 

Submission rack age, is it completely filled out and signed 

illduding package lype? · .. - ..... -

Is a C()nfidential Statcntcnt of FormuJa (EPA Foml 8570~ 

2f) ,Iucluded in thc Submission Package, is it completely 

filled out and signed (boxes 1 ~21)? 

· -.. -,----~-

Is (J Formulator's Exemption Statcnlcnt (EPA Ponn 8570~ 

27) Induded in the Submission Packagc? ....•. -.~ 

Is <I Certification with Respect to Citation of Data (EPA 

hmn 8570~34) Included in the Submission Package? - --.--.~-.. -.. ~-

Is H nuta Mutrix (EPA Form 8570-35) Included in the 

Submission Package? - '"~-- .. -

Is a Lahel Included in thc Submission Package? .. ~--~--~ 

Are Ihia Included in lhe Submission Package? -, ---~~ 

Is the Submission nn Amendment? ~~ 

Yes 

X 

i 

X 

X 

X 

.j 

X 

-AA 

No N/A 

\ 

X. 

>< 

10
-

U.S. ENVIRONMENTAL PROTECTION AGENCY EPA Reg. Date of Issuance: 

#'~"'o :'tr~J-&", Number: 0311112010 f'" ~ Office of Pesticide Programs 

~~~) Registration Division (7505C) 64240-66 

1-~( PROI~ 1200 Pennsylvania Avenue NW Term of Issuance: 

Washington, O.C. 20460 

Conditional 

NOTICE OF PESTICIDE: 

L Registration Name of Pesticide Product: 

Reregistration Combat QK Roach Killing GeJ Bait 

(under FIFRA, as amended) Station 

Name and Address of Registrant (include ZIP Code): 

Combat Insect Control Systems 

Henkel Consumer Goods, Inc. 

19001 N. Scottsdale Rd. 

Scottsdale, AZ 85255 

Note: Changes in labeling differing in substance from that accepted in connection with this registration must be submitted to and 

accepted by the Registration Division prior to use of the label in commerce. In any correspondence on this 'product always refer to the 

above EPA registration number. 

On the basis of illforrnation furnished by the registrant, the above named pesticide is hereby regislered/reregistered nnder the Federal Insecticide, 

Fnngicide and Rodenticide Act. 

Registration is in no way to be construed as an endorsement or recommendation of this product by the Agency. In order to protect health and the 

environment, the Administrator, on his motion, may at any time suspend or cancel the registration of a pesticide in accordance with the Act. The 

acceptance of any name in connection with the registration of a product under this Act is not to be construed as giving the registrant a right to exclusive 

use ofthc name or to its use if it has been covered by others. 

This product is conditionally registered in accordance with FIFRA sec 3( c)(7)(A) provided that you: 

I. Submit and/or cite all data required for registration of your product under FIFRA sec. 

3( c)(5) when the Agency requires all registrants of similar products to submit such data; 

and submit acceptable responses required for the registration review of your product. 

2. Make the following labeling changes before you release the product for shipment: 

a. Revise the EPA Registration Number to read: "EPA Registration No. 64240-66" 

Si<'~£A"~ Date: 

~ken March 11,2010 

I(Product Manager (RM 10) 

Insecticide Branch 

Registration Division (Me 7505P) 

8510·6 

11
2 

3. Submit final printed label bearing the above stated revisions prior to releasing this 

product for sale. 

Please note that the label for this product was approved with the understanding that the labeling is 

consistent with that of the me-too products. If you fail to comply with the above stated conditions, 

this registration will be subject to cancellation in accordance with FIFRA sec. 6C e). Your release for 

shipment of the product constitutes your acceptance of these conditions. 

See enclosed stamped label for your records. If you have any questions concerning this action, 

please contact Dr. B. A. Akinlosotu at (703) 605-0653. 

Enclosure 

12
[ 

Note: Bold, Italicized text is iJ,. _. ,nation for the reader and is not part of the L ,1. 

[Bracketed information is optional text.] 

EPA Reg. No. 64240-_ 

Combat QK Roach Killing Gel Bait Station 

Page tof5 

Mastel Label November 12, 2009 

Combat QK Roach Killing Gel Bait Station 

Altemate Bralld Name: 

[Combat Quick Kill 3 

Combat Quick Kill Gel Bait 

Combat Source Kill Max R4 

Combat Source Kill Max Gel Bait 

Combat Source Kill Max Roach Gel Bait 

Combat Source Kill Max Roach Killing Gel Bait 

Combat Gel Bait 

Combat Roach Gel Bait 

Combat Roach Killing Gel Bait] 

- or 

USE ONLY IN AREAS INACESSABLE TO CHILDREN AND PETS 

KEEP OUT OF REACH OF CHILDREN 

CAUTION: 

See side and back panel for additional precautionary statements and directions 

ACTIVE INGREDIENT: Fiproni1* ................ 0.D1 % 

OTHER INGREDIENTS: .......................... 99.99% 

·CAS No. 120068-37-3 

ACCEPTED 

W.h COMMENTS 

In EPA Letter Dated: 

MAR 111010 

Under the Federal Insecticide Fungicide Contains: : 1 [to] [-] 18 [Gel] Bait Station[s] [and Stakes] [,] and Rodenticide Act, As amended, forthe 

Each Containing[:] 0.14 oz. [to][-] 0.35 oz. (4.0 g [to][-] 10.0 g) pesticide Registered under EP/lReg. No: 

[TOTAL] NET WT[:] 0.14 oz (4.0 g) [to][-] 6.35 oz (180.0 g) _...:b~4-:.::2=-+:..:....f>_-,::?'::!!0~_.:., ':":"':":'':":'_ 

EPA Reg. No: 64240-_ 

EPA Est. No. _____ _ 

[Manufactured for] [Distributed by] & ©2009 Combat Insect Control Systems 

[19001JlN. Scottsdale RdJ, Scottsdale, [AZl [ARIZONA] 85255 

MADE IN USA. 

13
{ i 

Note: Bold, Italicized text is in .... ,mation for the reader and is not part of the ( •. A. 

[Bracketed information is optional text.) 

PRECAUTIONARY STATEMENTS: 

EPA Reg. No. 64240-_ 

Combat OK Roach Killing Gel Bait Station 

Page 2 of 5 

Master Label November 12, 2009 

HAZARDS TO HUMANS AND DOMESTIC ANIMALS. 

CAUTION: Harmful if absorbed through skin. Causes moderate eye irritation. Avoid contact 

with skin, eyes and clothing. Wash thoroughly with soap and water after handling and before 

eating, drinking, chewing gum, or using tobacco. 

FIRST AID: IF ON SKIN OR CLOTHING: Take off contaminated clothing. Rinse skin 

immediately with plenty of soap and water for 15 to 20 minutes. Call a poison control center or 

doctor for treatment advice. IF IN EYES: Hold eye open, rinse slowly and gently with water for 

15 to 20 minutes. Remove contact lenses, if present, after the first 5 minutes, then continue 

rinsing eye. Call a poison control center or doctor for treatment advice. Have the product 

container or label with you when calling a poison control center or doctor or going for treatment. 

PHYSICAL OR CHEMICAL HAZARDS: Do not use this product in or on electrical 

equipment due to the possibility of a shock hazard. 

STORAGE AND DISPOSAL: Do not contaminate water, food or feed by storage or disposal. 

STORAGE: Store in a cool, dry area out of reach of children. 

DISPOSAL: 

If empty: Nonrefillable container. Do not reuse or refill this container. Offer for recycling, if 

available. If recycling is not available, place in trash. 

If partly filled: Call your local solid waste agency [or 1-800-CLEANUP] for disposal 

instructions. Never place unused product down any indoor or outdoor drain. 

If you have questions regarding the use ofthis product, please call the Combat® helpline at 

1-800-426-6228 for information. 

{Note to Reviewer: Per PR-Notice 2007-4, this product will receive a batc/l code. The batc/, code 

Illlll,ber will be laser-coded 011 each primary package of the prodllct after the container is sealed.} 

For front or back or side panel: 

W1y;:jrjlll\de, t{% rnor$: U\3n yeatS, our 

bfarm have corroo8d Quality \l'iiitl respect 

for pecfle and the en.\'ironn~flj, TIlls ts "klal 

He~el stands fur - today al1d tofTlOODW. 

-or14
/ ! : ; 

Note: Bold, Italicized text is iri' ... mation for the reader and is not part of the i., !. 

[Bracketed information is optional text.] 

DIRECTIONS FOR USE: 

EPA Reg. No. 64240-_ 

Combat OK Roach Killing Gel Bait Station 

Page 3 of 5 

Master label November 12, 2009 

It is a violation of federal law to use this product in a manner inconsistent with its labeling. 

Do not use for control of insects other than those listed on this label. 

[COMBAT®] [Altemate Bralld Name listed 011 page 1] [This product] may be used for the 

indoor and outdoor (adjacent to homes & structures) control of cockroaches in residential areas. 

1. [To open,] H[h]old the bait station upright with the seal facing up and peel the seal from 

the top of the bait station. [Discard seal in trash.] 

2. Use all [1-18] bait stations. Place bait stations where you frequently see roach activity 

and where roaches may enter your home. [The] [D][djiagram[s] [above] [below] [at 

right] [at left] shows recommended placement locations. [For outdoor use (adjacent to 

the home), bait stations may be secured to the ground[, if desired,] by inserting [one] [one 

or two] [of the] stake[s] [enclosed] [provided] through [the][ one of the] [both] hole[s] in 

the base of the bait station.] 

3. Do not spray insecticide on or around the bait station[s,] as sprays will contaminate baits 

and reduce effectiveness. 

4. Replace after 3 months. 

15
... 

I ( I . Note: Bold, Italicized text is ini_.,nation for the reader and is not part of the I ... , ;/. 

[Bracketed information is optional text.] 

Optional Claims for front or back 

• Easy to use 

• No vapors or fumes 

• Fast control of even large roaches 

• Long residual action 

• Ideal for use with COMBAT® [product name] 

EPA Reg. No. 64240-_ 

Cambal OK Roach Killing Gel Bait Stallon 

Page4of5 

Master Label November 12, 2009 

• [COMBAT®] G[g]el bait stations [are] ideal for use in combination with other 

COMBA T® roach bait station products 

• [COMBAT®] G[g]el bait stations [are] ideal for use in combination with COMBAT® 

roach gels in syringe form 

• Ideal for use [in combination] with other Combat® roach baits for maximum control 

• Guaranteed to work or your money back 

• Satisfaction Guaranteed 

• Starts working in hours 

• COMBAT® [Alternate Brand Name listed all page 1] kills roaches fast. 

• Roaches eat the gel and die in the nest. 

• COMBAT® [Alternate Brand Name listed on page 1/ has a specific combination of 

roach food attmctants and a fast-acting active ingredient to create a highly effective tool 

in the fight against roaches. 

• The gel aUmcts roaches in search offood and water to the bait. 

• [Combat@][Baits] [C]contain[s] food and water [for roaches] but do not spill 

• Roaches ingest the bait and return to die in their nest. 

• Advanced [food] fonnula* 

* versus the previous Combat bait fonnula. 

• Gel Bait 

• Roach Gel Bait 

• Roach Killing Gel Bait 

• Please recycle empty carton 

• Call the Combat® helpline at 1-800-426-6228 for information. 

16
t r 

Note: Bold, Italicized text is iri. _,mation for the reader and is not parl of the J, __ _ I. 

[Bracketed information is optional text.} 

BAIT STATION UNIT LABEL 

EPA Reg. No. 64240-_ 

Combat OK Roach Killing Gel Bait Station 

Page S of S 

Master Label November 12, 2009 

Combat QK Roach Killing Gel Bait Station 

[-or- Alternate Brand Name on page 1J 

THIS SIDE DOWN OR AGAINST SURFACE 

Note: Do not remove or puncture this label. 

ACTIVE INGREDIENT: Fipronil* ................ O.Ol % 

OTHER INGREDIENTS: .......................... 99.99% 

*CAS No. 120068-37-3 

USE ONLY IN AREAS INACESSABLE TO CIDLDREN AND PETS 

KEEP OUT OF REACH OF CHILDREN 

CAUTION: 

Wash [hands] thoroughly with soap and water after handling bait stations. 

DISPOSAL: If empty: NonrefIllable container. Do not reuse or refill this container. Offer for 

recycling, if available. If recycling is not available, place in trash. 

If partly filled: Call your local solid waste agency [or 1-800-CLEANUP] for disposal 

instructions. Never place unused product down any indoor or outdoor drain. 

[For questions, comments or information about COMBAT, call toll free 1-800-426-6228.] 

[Questions or Comments? Call 1-800-426-6228.] 

EPA Reg. No. 64240-_ 

EPA Est. No. -0-==---

Distributed by & ©2009 

Combat Insect Control Systems 

[19001 N. Scottsdale Rd.,] Scottsdale, AZ [ARIZONA] 85255 

SEE OUTER CARTON - or - BAG FOR COMPLETE DIRECTIONS AND PRECAUTIONS 

NET WT 0.14 oz. to 0.35 oz. (4.0 g to 10.0 g) 

17
EPA File Code 64240-AA 

Georgia Anastasiou to: Bonaventure Akinlosotu 01f04{2010 to:56AM " """"" 

Good Morning Bonaventure! 

Happy New Year. 

I am following up with the voicemail you left me last week regarding the me-too 

submission for EPA File Code 64240-AA" You indicated that you do not believe 

this is a me-too because the product we are referencing is a syringe while the 

product we are trying to register is a bait station" Please note that the formulations 

for the bait station product is identical to 64240-45 

The history behind the submission of the me-too product dates back to the denial 

letter I received for EPA Reg" No. 64240-45. Please see attachment. Initially I 

tried to put the bait station directions for use on the this product and it was denied; 

however, it was indicated by Richard Gebken that I could submit a separate 

me-too registration with 15-alt--statrons~dir-ecrrons. 

Below is an email communication regarding the me-too submission - in the end 

Richard requested a separate me-too submission. Hopefully the information I have 

provided is sufficient and you can continue to process the registration. 

If there are any other questions, feel free to contact me. I'll be in all week. 

Sincerely, 

Georgia Anastasiou 

Lewis & Harrison, LLC 

122 C Street, N.W., Suite 740 

Washington, DC 20001 

P: 202-393-3903 xl9 

F: 202-393-3906 

From: Georgia Anastasiou 

Sent: Thursday, November 12, 2009 12:03 PM 

To: 'akinlosotu,bonaventure@epa.gov' 

Subject: Question -64240-45 

18
Hello Bonaventure, 

In regards to the recent denial for the amendment for EPA Reg. No. 64240-45 to 

add directions for use for a bait station (denial attached)-I was wondering ifit 

would be acceptable to revise a currently registered me-too of this product to be a 

bait station label rather than submit a new me-too registration. Currently EPA Reg. 

No. 64240-63 is registered at EPA with syringe directions for use- (this product is 

a me-too of 64240-45). Combat has not distributed or manufactured this product 

and was wondering if the product label could be revised by amendment so the 

product has the bait station application method rather than applying it with a 

syringe. All syringe language would be deleted. 

Look for to your response. 

Sincerely, 

Georgia Anastasiou 

Lewis & Harrison, LLC 

122 C Street, N.W., Suite 740 

Washington, DC 20001 

P: 202-393-3903 x19 

F: 202-393-3906 

~. 

200911121 051 05. pdf 

19
( 

UNITED STATES ENVIRONMENTAL PROTECTION AGENCY 

WASHINGTON, D.C. 20460 

October 08, 2009 

Mr. David Lewis 

Lewis & Harrison, LLC 

Agent for Combat Insect Control Systems 

122 C Street, N.W., Suite 740 

Washington, DC 20001 

Subject: Request to add DFU for a different use pattern. 

COMBAT Quick Kill Roach Killing Gel 

EPA Reg. Nos. 64240-45 

Application dated June 26, 2009 

Dear Mr. Lewis: 

())'FICI. OJ. 

I'Ri,Vi:~TiON I'!O:"T!CIDLS 

,\\:1) i'OXiC S(:IlS L\~C!-_S 

The above- referenced labeling, submitted in connection with registration under the Federal 

Insecticide, Fungicide, and Rodenticide Act (FIFRA), as amended, is not acceptable due to the 

foHowing reasons: 

The labeling is for two separate products, that requires two different directions for use (For the 

syringe and bait station forms). Thus, you may submit an application to register the bait 

station. 

If you have any questions concerning this action please contact Dr. B.A. Akiniosotu at (703) 605-0653 . 

. chard Gebken, 

Product Manager 10 

Insecticide Branch 

Registration Division (7505P) 

20
,ript for Rejection Phone calls( 

Contact Name: ,1 \ S ' \ ,,--L--'L.\'jIC< r-(h~.) n \Ul 

Phone#: ""c L - 'C> " r \ 1 • L "I'" . '7cl"-'S 'c-,' c. Email: ./.C> ,C> C/ 

\~'y"'Cj ~ \ c C,,;-..) t E __ u I.S he ... r ;u;t. V'I ,r~, 

First CallIInitials: Second CallIInitials: 

Date: (.it /3 (c Date: 

Time: Time: 

This is. ___ F,-"'-,{-"t-,(~, J.{_' _r:::'-'~~:'Lf=?=\-'(-'('"(-""",q;o--,-" EPA contractor. 

I'm calling regarding your submission in support of 

We have found the following deficiencies regarding: 

PR Notice 86.5: Yes or No 

Volume/Study Title: n 

Volume/Study Title: 

Volume/Study Title: 

Additional volumes continued on back of page: Yes or No 

App 'cation Package(~~ii)r No 

Dc,1e 'rick / l,d· 

Second CallfEmail: 

Ifwe do not receive the corrections by , we will process 

your submission, accordingly. Please direct all future calls and 

correspondence to the appropriate EPA Risk Manager. 

21
RE: Your submission to EPA (Reg. No. 64240-AA) 

Georgia Anastasiou to: Fiker Getachew 

Hello Fiker, 

Thank you for your email - I have addressed each issue below 

12/01/200910:51 AM 

,\ know this means that we are citing all necessary data on file to support this 

,.., I} Ml.ssing Guidelines: For this product we used the "cite-all" option. As you 

\~OW~\ reglstration. Whenever I use the cite-all option it has not been necessary for 

~ me to list each guideline. I have actually submitted many new products for 

~ Combat this that had the same data matrix format (EPA Reg. No. 64240~60, 

r?.\ 'J.!V 64240-62, 64240-63). 

\(l\Ct ~2) Missing Efficacy Data: This product is a "me~too" of EPA Reg. No. 64240~45. \V: ~ (nhe product composition and claims are identical to EPA Reg. No. 64240-45 thus 

~~. no efficacy data is required . .. ~ ,'rf. , ! . . ~ ~~ jllf you have any questlons or wlsh to dlSCUSS thlS In more detall, please feel 

~o /c." () free to call me. $ 

\ "" ' (',J. c' r l /~ Js 

Sincerely, lA.0'-\..~r·-~" \~"-~ ~i\//~ 

Georgia Anastasiou 0. ">1,.,, 'f'_ ;.\v 

Lewis & Harrison, LLC 'L"j\ .t.-'; 

122 C Street, N.W., Suite 740 ," /'- / "\0.'! 1, Washington, DC 20001 I,l"d..l _ 1 -VY,!-L.f ~ , ~/.c T b 

P: 202-393-3903 x19 {O 

F: 202-393-3906 1 btf'7,-' 

----~Original Message-----

From; Getachew.Fiker@epamail.epa.gov (mailto:Getachew.Fiker@epamail.epa.gov) 

Sent; Monday, November 30, 2009 9:21 AM 

To: Georgia Anastasiou 

Subject: Your submission to EPA (Reg. No. 64240-AA) 

HI, 

We found the following deficiency in your application package for Reg. 

No. 64240-AA. The data matrix is missing the guide lines. You will.also 

needs to list an efficacy study in addition to the other guide lines 

since "cockroaches" are one of the pests of Public Health Importance. 

Registrants are required to submit an efficacy study for pest that are 

in the lists for pests for Public Health Importance. 

The revised version of the form can be faxed to 703-305-5060:Attn: Fiker 

Getachew. 

Fiker Getachew 

EPA Contractor 

703-305-6472 

22
LEWIS & 

HARRJSON 

Consultants In Government Affairs 

November 12,2009 

122 C Sireei. N.W., Suile 740 

Washinglon, D.C. 20QOt 

lelephone 202.393.3903 

fax 202.393.3906 

Document Processing Desk [REGFEEJ 

Office o[Pesticide Programs (7504P) 

U. S. Environmental Protection Agency 

Room S-4900, One Potomac Yard 

2777 South Crystal Drive 

Arlington, VA 22202-4501 

ATTENTION: Richard Gebken 

Product Manager, Team 10 

HAND-DELIVERED 

SUBJECT: Application for Registration of a "Me-Too" End-Use Product 

Combat® QK Roach Killing Gel Bait Station (EPA Reg. No. 64240--.J 

Dear Mr. Gebken: 

On behalf of Combat Insect Control Systems, I am submitting a "me-too" application to register their 

end-use product, Combat® QK Roach Killing Gel Bait Station. This product contains 0.01% fipronii 

and will be used as an indoor and outdoor bait to kill roaches. The formulation, precautionary 

statements, first aid language, and lise sites are identical to Combat® Quick Kill Roach Killing Gel (EPA 

Reg. No. 64240-45). The only difference between the two products is that Combat® QK Roach Killing 

Gel Bait Station will be sold as a bait station while Combat® Quick Kill Roach Killing Gel (EPA Reg. 

No. 64240-45) is sold in a syringe. The directions for use for Combat@ QK Roach Killing Gel Bait 

Station have been revised for the bait station application method. 

This registration application falls under PRIA Category R300 (new product; identical in composition to 

a registered product; cite-all data citation), which has a fee of $1 ,365 .00. J submitted payment to the 

Agency and have attached a copy of the check to the application. 

Enclosed please find the following documents in support of this registration: 

l. Application for Pesticide Form, with copy of payment attached; 

2. Confidential Statement of Formula for the basic fonnulation and two (2) altern ... J.:- fqmulat1blB~" 

3. Certification with Respect to Citation of Data Form; 

4. Data Matrix Forms (confidential mill non-confidential versions); 

5. Fonnulator's Exemption Statement Form; and, 

6. Proposed Product Label (5 copies). 

Combat® QK Roach Killing Gel Bait Station 

Registration Application ·PRIA If Category RJOO Page 1 of 2 

23
Thank you for your assistance with this application. If you have any questions about this submission, 

please call me at 202-393-3903 ext. 19 or e-mail meatgeorgia@lewishanison.com. 

Sincerely, 

lIwr" a.,"-""'6:o",-

Georgia Anastasiou 

Agent for, 

Combat Insect Control Systems 

Enclosures 

cc: David Rickard, Combat Insect Control Systems 

Combat® QK Roach Killing Gel Bait Station 

Registration Application -PRIA II Category R300 Page 2 of 2 

24
Please read instructions on reverse be , ore compr ....... g fo =. 

{ Form Approved-: IB No. 2070·0060, Aoproval expires 05-31-98 

- EPA United States IZI Registration opp Identifier Number 

0 Environmental Protection Agency 0 Amendment 

Washington, DC 20460 0 Other: 

Application for Pesticide - Section I 

t. companY/PAAct Number 2. EPA Product Manager 3. Proposed Classification 

64240· Richard Gebken 

4. Company/Product (Name) PM' [g] None D Restricted Combat® OK Roach Killinn Gel Bait Station Team 10 

5. Name and Mdress of Applicant (Include ZIP Code) 6. Expedited Review. In accordance with FIFRA Section 3(c)(3) Combat Insect Control Systems (b)(I), my product is similar or identical in composition and labeling clo Henkel Consumer Goods Inc. 

19001 N. Scottsdale Rd. to: 

Scottsdale, AZ 85255 EPA Reg. No. Combat Quick Kill Roach Killing Gel 

PLEASE SEND ALL CORRESPONDENCE TO 

"CONTACT POINT" LISTED BELOW Product Name: 64240·45 

D Check if this is a new address 

Section -II 

D Amendment - Explain below. o Final printed labels in response to Agency letter dated 

D Resubmission in response to Agency letter dated IS] "Me Too· Application 

D Notification· Explain below. o Other - Explain below 

Explanation: Use additional page(s) if necessary. (For Section I and Section II.) 

Registration Service Fee 

Fee Category R300: New product; identical in composition and use to a registered product. 

Fee ~ $1,365.00. Copy of Check Attached 

For questions, please contact Georgia Anastasiou at 202-393-3903 x. 19 or at georgia@lewisharrison.com 

Section - III 

1. Material This Product Will Be Packaged In: 

Chik:!-Resistant Packaging Unit Packaging Water Soluble Packaging 2. Type ot Container 

DYes· DYes DYes o Metal 

IZJ No IZJ No IZJ No [ZJ Plastic 

If "Yes" No. per If "Yes· No. per o Glass 

*Certification must Unit Packaging wgt. container Package wgt. container o Paper 

be submitted o Other (Specify) 

3. location of Net Contents Intormation 4. Size(s) Retail Container 5. location of label Directions 

[gJ label o Container 0.42 oz, 1.05 oz, 2. t oz fZ] On label 

o On labeling accompan ing product 

6. Manner in Which label is Affixed to Product 0 lithograph D Other 

0 Paper glued 

0 Stenciled 

Section w IV 

1. Contact Point (Complete items directly below for identification of individual 10 be contacled, if necessaty, to process this appticeUon) , ._- Name Georgia Anastasiou, Lewis & Harrison, LLC, Title Telephone f!o. '(rn'clude Area 

122 C Street NW, Ste_ 740, Washington, DC 20001 Agent Code) , " , .. 20.( . ..J~:;-GC03 x. 19 

Certification , : 6. Date .-?-pplication 

I certity that the statements I have made on this form and all attachments thereto are true, accurate and complete: I Recei~ed 

acknowledge that any knowingly talse or misleading statement may be punishable by fine or imprisonment or both' ; " . (Stamped) under applicable law. 

2. Signature 3. Title 

l/wr .. C4,~;ov-... Agent 

4. Typed Name 5. Date 

Georgia Anastasiou November 12, 2009 

.. :w , 

EPA Form 8570 . . 1 . . {Rev. 8 94) Previous editions are obsolete White EPA File Copy (of/gmal) Yellow Applicant Copy 

25
{TI ...... , ... _-"""""'" """'~ •• =~ 

PI' 

LEWIS & HARRISON, LLC 

122 C STREET, N.W., SUITE 740 

WASHINGTON, DC 20001 

a?<""" h IJf& ,.J"e;~ r/ U.S. Environmental Protection Agency 

( 23366 

WACHOY, ,NK, N.A. 

68--!>4lti14 

11/2012009 

,!' "'1,365.00 

One Thousand Three Hundred Sixty-Five and 00/100*************"*************************************"'*************** 

PRIA Fee R300 (Combat Insect Control Systems) ---.---~ 

'\,,~======,,:,~,. ~0,;2=,'l~'l;;";;;;;"="'=' =========="" 

LEWIS & HARRISON, LLC/122 C STREET, N.W., SUITE 740 

U.S. Environmental Protection Agency 11/20/2009 

PRIA Fee R300 (Combat Insect Control Systems) 

1000 Cash PRIA Fee R300 (Combat Insect Control Systems 

LEWIS & HARRISON, LLC/122 C STREET, N.W., SUITE 740 

U.S. Environmental Protection Agency 11/20/2009 

PRIA Fee R300 (Combat Insect Control Systems) 

1000 Cash PRIA Fee R300 (Combat Insect Control Systems 

1111111111111111111 "399 

23366 

1,365.00 

1,365.00 

23366 

1,365.00 

1,365.00 

26

*Commercial/financial information may be entitled to confidential treatment*
; 

Combat Insect Control Systems 

clo Henkel Consumer Goods Inc. 

19001 N. Scottsdale Rd. 

See,tts".le, AZ 85255 

/' 

Form approved. OMB NO. 2070-0060. Approval Expires t-30-93 

United States Environmental Protection Agency Washington, D.C. 20460 

Formulator's Exemption Statement 

CFR 

; I 

As an allitl6Jized representative of the applicant for registration of the product identified above, I here certify that ~~$~ 

(1) This produc''t''c.ontains the following active ingredient(s): " ~ SC tt t~t1e 0" , , " , , ~ £ ~ "~ 

g {" t~'$"S· 

t· "t , , ,~ t , , tt~tq~ 

FIPRONIL (CAS NO. 120068-37-3) 

(2) Of these, each active ingredient listed in paragraph (4) is present solely as the result of the use of that active 

ingredient in the manufacturing, formulation or repackaging of another product which contains that active 

ingredient, which is registered under FlFRA Section 3, is purchased by us from another producer, and is labeled 

for at least each use for which my product is proposed to be labeled. 

(3) Indicate by checking {A) or (6) below which paragraph applies: 

~ (A) An accurate Confidential Statement of Formula (EPA Form 8570-4) for the above identified product is 

attached to this statement. That formula statement indicates, by company name, registration number, and 

product name, the source of the active ingredient(s) listed in paragraph {i). 

OR 

D (6) The Confidential Statement of Formula (CSF) (EPA Form 8570-4) referenced above and on file with 

the EPA is complete, current, and 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 

Active Ingredient Product Name Registration Number 

Fipronil 

Signature Name and Title Date 

~"- Georgia AnastasJou, Agent November 12, 2009 

~~:ov.... 

EPA Form 8570-27 (Rev. 7-91) White - EPA copy Yellow - Applicant copy 

27 *Product ingredient source information may be entitled to confidential treatment*
________________ ;/ Form Approved OMB No. 2070-0060 

u~ •• cD STATES ENVIRONMENTAL PROTEd. ,IN AGENCY 

o 

-

401 M Street, S.W. 

WASHINGTON. D.C. 20460 

Paperwork Reduction Act Notice: The public reporting burden forthis COiJeclion of information is estimated to average 1.25 hours per response for 

registration activities and 0.25 hours per response for reregistration and special review activities, including lime for reading the instructions and completing 

the necessary forms. Send comments regarding the burden estimate or any other aspect of this coilection of information, including suggestions for reducing 

the burden to: Director, OPPE Information Management Division (2137), U.S. Environmental ProleclionAgency, 401 M Street, S.W., Washington, DC 20460. 

Do not send the form to this address. 

Certification with Respect to Citation of Data 

Applicant's/Registrant's Name, Address and Telephone Number 

Combat InsectCQntrol Systems clo Henkel Consumer Goods Inc. 

19001 N. Scoftsflale!Rd .• Scottsdale, AZ 85255 (Aqent: 202-393-3903) 

Active Ingredient(s),and/or representative test compound{s): 

Fipronil ~ ~~ $2 ~ e~ 

EPA Registration Number/ File Symbol 

64240-_ 

Date 

November 

General use pattem{s) (list 2.11 those claimed for this product using 40 CFR Part 158) 

Domestic D~iK~QS (Indoor §.& 6utdoor) 

Product Name 

Combat® QK Roach Killing Gel Bait Station 

NOTE: If YOU{ f.Jfqdupt is a !Qq~ /~packaging of another purchased EPA-registered pro?~.ct labeled for all the same uses on your label, you 

do not need to submit this form. ~~ 

You must submit the Formulator's Exemption Statement (EPA Form 8570-27). 

. ~ ~ ~ o I am responding to a Oa{a Call-In Notice, and have included with this form a list of companies sent offers of compensation (the Data 

Matrix turt11'sn;,JUld be USed for this purpose). 

I-___ ~ ...... ..ii-""""'.! ___ _'S"'E"C"'T"'IO=N_"I:"M"E~T"H"O"'D'_"'O'__F_"D"'A"T.!:A"S'iu"P::,P-,O"R"T"(",C,"h"ec"k"o"n"e",m"e",th",o"d",o"nl,,,v»,-__ --------1 

[8] I am using <the cile-all method of support, and have included with D 

this form a list of companies sent offers of compensation (the 

Data Matrix form should be used for this purpose). 

I am using the selective method of support (or cite-all option 

under the selective method), and have included with this form a 

completed list of data requirements (the Data Matrix form must 

be used). 

SECTION II: GENERAL OFFER TO PAY 

[Required if using the cite-all method or when using the cite-all option under the selective method to satisfy one or more data requirementsJ 

[gJ I hereby offer and agree to pay compensation, to other persons, with regard to the approval of this application, to the extent required by 

FIFRA. 

SECTION III: CERTIFICATION 

I certify that this application for registration, this form for reregistration, or this Data Call-In Notice is supported by all data 

submitted or cited in the application for registration, the form for reregistration, or this Data Call-In response. In addition, if cite-all option 

under the selective method is indicated in Section I, this application is supported by all data in the Agency's files that {1} concern the 

properties or effects of this product or an identical or substantially similar product, or one or more of the ingredients in this product; and (2) 

is a type of data that would be required to be submitted under the data requirements in effect on the date of approval of this application if 

the application sought the initial registration of a product of identical or similar composition and uses. 

I certify that for each exclusive use study cited in support of this registration or reregistration, that I am the original submitter or that 

I have obtained the written permission of the original submitter to cite that study. 

I certify that for each study cited in support of this registration or reregistration that is not an exclusive use study, either: (a) I am 

the original data submitter; (b) I have obtained the written permission of the original data submitter to use this study in support of this 

application; (c) all periodS of eligibility for compensation have expired for the study; (d) the study is in the public literature; or (e) I have 

notified in writing the company that submitted the study and have offered (i) to pay compensation to the extent required by sections 

3{c){1){F) and/or 3(c){2){B) of FIFRA; and (Ii) to commence negotiations to determine the amount and terms of compensation, if any, to be 

paid for the use of the study. 

I certify that in all instances where an offer of compensation is required, copies of all offers to pay compensation and evidence of 

their delivery in accordance with sections 3{c){1 }(F) and/or 3(c}{2)(B) of FIFRA are available and will be submitted to the agency upon 

request. Should I fail to produce such evidence to the Agency upon request, I understand that the Agency may initiate action to deny, 

cancel or suspend the registration of my product in conformity with FIFRA. 

I certify that the statements I have made on this form and all attachments to it are true, accurate and complete. I 

acknowledge that any knowingly false or misleading statements may be punishable by fine or imprisonment or both under 

applicable law. 

Signature Date Typed or Printed Name and Title 

November 12,2009 Georgia Anastasiou, Agent 

EPA Form 8570-34 (9-97) ElectroniC and Paper verSions avaiiable. Submit only Paper version. 

28
- UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Form ApPfOved OMB No. 2070-0060 

0 401 M Street, S.W. 

WASHINGTON, D.C. 20460 

Paperwork Reduction Act Notice: The public reporting burden for this collection ofinformation is estimated to average 0.25 hour$ pehteSpons~"fQf re§iSlraliop'l'lWti\{jtl'eJ; and 0.25 hours per response for 

reregistration and special review activities, including time for reading the instructions and completing the necessary forms. Send Oomm~nls tegaJding IhK 1:r',J~n:;estiQmle or any other aspect of this collection 

of information, including suggestions for reducing the burden to: Director, QPPE Information Managemen1 Division (2137), U.S. Etwironmen1al Protection AgeflCY140t WI Street, S.W., Washington, DC 20460. 

Do not send the form to this address. ~ '"" ~"" ~",," ~ ~ $ 

DATA MATRIX ~ww* <~' __ ~ 

Date November 12, 2009 EPA Reg. No.lFile fiymbol':642fJO;_ : I Page1of1 -~--,,-,., Applicant's/Registrant's Name & Address: Combat Insect Control Systems Product " , , , "" ~~ " , • c/o Henkel Consumer Goods Inc., 19001 N. Scottsdale Rd., Scottsdale, AZ 85255 Combat® OK Roach Killina Gel Bait Station 

Ingredient(s): Fipronil (CAS No, 120068-37-3) 

Guideline Reference Number I Guideline Study Name I MRID Number I Submitter I Status I Note ,J"''"'''-. 

CITE-ALL See Attached list Pay ---

/~'" 

Signature Name and Title: Date 

ikr"- C4!1lb\'Q.(l,'ov..., 

Georgia Anastasiou, Agent November 12, 2009 

EPA FOIm 857' l.~~I<>'<>" ) E~lronicand Paper versions aval '~h'~ $, '::"hm;l nnl Iy Paper ver5icn. Agency Inlernal Use Ccpy 

29
- UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Form Approved OMS No. 2070·0060 

0 401 M Street, S.W. 

WASHINGTON, D,C, 20460 

Paperwork Reduction Act Notice: The public reporting burden for this collection ofinformation IS estimated to average 0.25 hopr:;; per,l;espons,e"fQf r'eg'l~tratiop\(;:tiVitr~ and 0.25 hours per response for 

reregistration and special review activities, including time for reading the instructions and completing the necessary forms. Send Comm~nts 1egqrCing 1t1~ tf'clrcten;;estiQ1!1te or any other aspect of this collection 

of information, including suggestions for reducing the burden to: Director, OPPE Information Management Division (2137), U.S. E\wironmental Protection Agency: 401 M Street, S.W., Washington, DC 20460. 

Do not send the form to this address. -.- '"" ,,<"" ~ ~ ~ ~ "''' ~ 

DATA MATRIX ~~~" ~~~ " 

Date November 12, 2009 EPA Reg, No.lFile 8~'mboGS4240~ :: ~----'-'"-'~' 

I Page 1 oft 

Applicant's/Registrant's Name & Address: Combat Insect Coolrol Systems Product , , , , ",,'"" ~ , , c/o Henkel Consumer Goods Inc., 19001 N. Scottsdale Rd., Scottsdale, AZ. 85255 Combat® QK Roach Killina Gel Bait Station 

Ingredient(s): Fipronll (CAS No. 120068-37-3) 

Guideline Reference Number I Guideline Study Name I MRID Number I Submitter I Status I Note /"~'" 

I 

I I I 

See Attached List 

I I 

---

I 

I I I I I 

Signature Name and Title: Date 

lkr .. Q.¥Hlb\1tb;O\I>... 

Georgia Anastaslou, Agent November 12,2009 

{PA FOfm 6570-35 (9.97) Elecl",~ic end PapervarsiorlS a,allable. Subm~ only Paper version Public Filo Copy 

30
( 

CBEMICAL CHEMICAL NAME 

12912.!. E'ip!:cni1 

Company f Company Add%ess 

100 :3YHGEIEA CROP pROTECr:OH, :NC, 

ATTN: REGU1.P:WRY AFFP..!RS 

~ e ~. 

, H '" ~ 

Company $"" ~ ;;iA 

"" ,,< 

C6~n{' 

.;.12 ~ ~ 

PO BOX 13300 

GR~ENS80RO,NC 27419 

i Company Add.J:eaa 

BAER CRCPSC:ENCE Sf' 

2 r~w~ ALEx..!l..NDER mUVE 

~E13EA:RCH TR:.M1GLt: PlinK, tiC 

" " " ~ " ~" 

" f Co~?-h ~Add.rella 

3¥'2R Et>}VIRON1-!:sNI";'..r. SCIEllCE 

p.. '3VG1NE,SS GROuP OF 3".1'ER C;WPSC:ENCE "'0 " PO< EDy'"J;Z')1'; 

RESEARC:r TRI"'~!GLE P.~_::l?::,NC 2170" 

f Company Add.J:ess 

R~CKIT: B~NCKISER INC. 

MORRIS CORPORA::E CENTER IV 

399 m::ERPACE PARI{'t1AY 

PARSIPPAII1',HJ 07C'S~ 

i Company Address 

J. .;, H;'UGET CO. 

:1733 D:REC:Oa'S lOOP 

~CODBR=DGE,VA 2=192 

C~ .. nv i CODIPaJlY Addreas 

7%90 BAS:: COapCRA7:0N 

AGRICCLTU~~L PRODVC7E 

PC BOY. 1352e 

RE!;:EAAC:r TRI,,"3GL=: P" .. P-K,HC 277t'9 

Company f Company Address 

S6SB CH:=:MS:r:::O 

D!V Of OHIT;::O :NDl.lSTil.::;;:S ';::ORP 

PC BOX 142642 

SI" LOnrS,MO 63~14 

Co=pany t Company Address 

SSS83 q::HlROL SC'1t':::Ol1S, :NC. 

::.·n G:::NCA-PED ElLl:FF 

PASAOENP-._ IX 715D7 

Company 

54022 

t Company Address 

VIRBAC 

PC BOX 16';99 

FORT WORTH,IX 76161 

BFF 

Y. 

ZFF 

Y 

EFF 

Y 

EPF 

Y 

Bi?i? 

Y 

EFF 

Y 

EB':5' 

, 

E:!?F 

EFF 

y 

Data Types 

EXP EXU FA FEP FRE aT " RC TO 

Data Type" 

EXP EXU FA FEP FRE OT '" RC TO 

Y , Y F Y 

nata Typ"',", 

EXP EXU FA FllP FRE OT '" RO TO 

,: y y 

Data. Type,. 

EXP EXU FA FE' FRE OT PC RO TO 

Y Y 

Data Types 

EXP EXU FA FEP F>m m PC RC TO 

Data Types 

EX? EXU FA FEP FRE QT " RC TO 

'i Y. Y , , 

Oat .. Types 

EX' EXU FA FEP FRJ! OT PC RC TO 

Data T}"pe,. 

EXP EXU FA FEP FRE OT " RC TO 

Y 

Data Types 

EX' EXU FA FEP FIm OT PC RC TO 

r 

31
COl/ll:lanv 

E5331 

t Com~anv Addres8 

1£:RrJ<..L LII1!!tD 

( 

3Z3~ S;'.T£LLIT£ BLVD, BLDG S)), LOe lOEE 

DULUTH, G}.. soes;'; 

Companv i Company Address 

,~ 40 " , 

SPRAY D~I:r ~ASK ?ORCR 

lKKE11~A, LONG;. ALDRIDGt LLP 

lSOC K STRE:<:T, Hfi' 

!';l'.SHrNG::CH, JC 2']O,}EOUTDo:m RESID£tiE;''':' :::'XFCS;;R£ TASK ?OR~ 

':3513 r SIR:;:E:-, N.W. 

Wl\.SF.JNG::CH, DC ::::0005 

Comp:;my i Com~any Address 

;:.C;<IcJ1L':'OR.U ;<:;::::t-lTRY 

.:.35& ~2 STRE:':'~, N.'';. 

1~1fsfimGfOH, DC :OOOS 

7L';;£5 " , , 

H 

, , " toe' , , Compaqy 

"':.~J;.i ! 

ColllJ)anv 

73766 

, 

i Company Address 

iI.HBRA1-mS 

::ASK FORCE 

118 1/2 2Jt.S1' MAIN £:-;<:::'£T, S:U:r::: 1 

5ALZ~l, VA :41£3 

i Company Address 

:m{oV?::-:V£ PEST 

PO BOX: 82(':::16 

CON:rROL PROD:JC'!$ 

:aCC;" 1<;>.".::CI-l,?1 33426 

Company i Company Address 

:;'InA £:DAN:;:<:R:<::'; SnCr'E:S ::;'.SY. :;'ORC:::', :c. 

C{O F_".AOLD Hrl-!l£LH;'N {B2'BP,:D(;£ ~ DIA..'fOcm, 

::'350 : Sl"RE£T, tn. 

WAS"ING'!'CN,DC 10005. 

COmpii.ny i Company AddJ::eess 

14888 R:E:SID£N:rAL E:-lPOSDR£ -JOD<:: VE.HE'R::;:' 

900 17::H SIu'::,!" h",\ sur'!E. 300 

1'-1'.SHIW;::Cli, :>: .200':"0 

Company it Company AddJ::eess 

75134 ;'.GRICULIrrW.L H;'ND'1tPoS E.XPOEO?£ V . .$K :;0 

PO BOX 509 

K'\CON,MO E3-5S2 

BFF EXF 

Y ;: 

Rep EXF 

EF!? EXP 

EPP EXP 

EFP ETF 

Y 

EFF EXP 

Y 

BPP EXP 

BPF BTF 

EP' RTF 

t 

Data T1'Pe!'l 

BXU PA FEP Pru; OT PC RC TC 

y y y 

Data TypeI' 

;:xu PA FEP PRE OT PC ru: TC 

, 

Data '!1"Pes-

:o:XU PA FEP PRE OT PC RC TC 

"i 

Data Types 

BXU FA PBP PRE OT " ru: TC 

.{ 

Data Types 

EXU FA FEP PRB OT '" " TC 

Data Type .. 

EXU FA FEP FRZ OT '" RC TC 

Y Y 

Data Types 

BXU FA FEF FRE OT PC RC TC 

"l 

Data T1"Pes 

BXU FA FEP FRE OT PC RC TC 

"{ 

Data'l1-"Pes 

.XU FA PEP FRE OT PC RC TC 

.r: 

32
Pages 33-34 - *Confidential Statements of Formula may be entitled to confidential treatment*