# HELENA BRAND 15% SEVIN GRANULES - EPA Reg No: **5905-180** - Registrant: HELENA AGRI-ENTERPRISES, LLC, D/B/A HELENA CHEMICAL COMP - Signal word: Caution - Active ingredients: Carbaryl (15%) - Label accepted: 2005-03-11 - Source PDF: https://www3.epa.gov/pesticides/chem_search/ppls/005905-00180-20050311.pdf --- ': 5'tOS -:: 180 03/' I /~ftnn ADDrDYed. OMB No. A ...... ~.x1s -_ MM/, 'on __ befo .. com_ "''''' United States § Registration OPP Identifier Number &EPA Environmental Protection Agency Amendment Wa.hington, DC 20460 t/ Other Application for Pesticide - Section I 1. CompanylProduct Number 2. EPA Product Menager 3. Proposed Classification 5905-180 o None o R.stricted 4. CompanylProduct (Name) -' PM' Helena Brand 15% Sevin Granules 5. Name and Addr ••• of Applicant (Include ZIP Code) 6. Expedited Reveiw. In accordance with FIFRA Section 3(c)(3) Helena Chemical Company (b)(i). my product is similar or identical in composition and labeling 225 Schilling Boulevard, Suite 300 to: . Collierville, Tennessee 38017 EPA Reg. No. o ChfICk if this is 8 new IIddrllSS Product Name Section - " 0 Amendment - Explain below. 0 Final printed labels in repsonse to Agencv lene, dated NOlIEICAIION 0 Resubmission in response to Agoncy letter dated 0 -Me Too· Application. 0 Notification - Explain below. 0 Other - Explain below. MAR 1 1 Z005 Explanation: Usa additional page(s) it necessary. (For section I end Section 11.) Other Revisions ~Notification of Other Revisions per PR Notice 98-10. This notification is consistent with the provisions of PR Notice 98-10 and EPA regulations at 40 CFR 152.46, and no other changes have been made to the labeling or the confidential statement of fonnula of this product. I understand that it is a violation of 18 U.S.C. Sec. 1001 to willfully make any false statement to EPA. I further understand that if this notification is not consistent with the tenns of PR Notice 98-10 and 40 CFR 152.46. this product may be in violation of FIFRA and I may be subject to enforcement action and penalties under sections 12 and 14 of FIFRA. Section - III ,. Mat_rill Thlo Product Will Be Pockoged In: Child-Resistant Packaging Unit Packaging Water Soluble Packaging 2. Type of Container ~Ye. ~Y •• ~ Ye. ~~'. t/ No t/ No t/ Plastic No Glass • ONtification must If ·Yes· No. per If -Yes- No. per Paper Unit Packaging wgt. container Package wgt container Other (Specifyl be submitttld I 3. Location of Net Contents InfoRnation 4. Size(s) Retail Container 5. Location of Label Directions ~ label U Container t:=:l On Label 6. Mannor in Which Label Is Affixed to Product ~UthOgrePh 0 Other Self Adhesive Pape, p,IUod Stenci 8d + Section - IV 1. Contact Point (Comp/ete items directly below fo, identification of individu'" to be contacted. if nBCBSSIII"f, to proCtlSS this spplication.) Name Title Telephone No. (Include Area Code' Mandy K. Styles Product Registration Supervisor (901) 752-4420 Certification 6 . .:Iot..-..4pptication f certify that the statements I have made on this fonn and all attachments thereto are true, eccurate and c.~~et1. Re..:eived I acknowledge that any knowlingUy false or misleading statament may be punishable by fino or imprisorvnant or (Stamped I both under applicable law. -- 2. Si9nature j , 3, Tide <---I -a, .. 4 ))