REGISTRATION REPORT
PART C
Confidential Information
Any information that is confidential should not be included in any
version of the document subsequently published or otherwise made
available to interested parties. All such information should, therefore,
be included in Part C, to facilitate its removal from any version made
publicly available. This confidential information should not be generally
circulated, and should only be distributed by courier.
Belgium
<Product name>
<Active substance(s)>
<Date>
Contact point:
Maarten Trybou
Federal Public Service Public Health, Food Chain Safety and Environment
DG Plants, Animals and Food
Service Pesticides & Fertilizers
Eurostation block II, 7th floor
Place Victor Horta 40 box 10
1060 Brussels
Maarten.Trybou@health.fgov.be
Tel 02/524.72.52
Fax 02/524.72.99
1
Manufacturer of the active substance(s)
Name and location of plant :
Company
Contact person :
Mr. XXX
Tel.: +
Fax : +
Manufacturer of the formulation PRODUCT NAME
Name and location of plant :
Company
Contact person :
Mr. XXX
Tel.: +
Fax : +
Detailed specification of the formulation PRODUCT NAME
Component
Content
G/L
%
w/w
Function
CAS
number
EEC
number
(EINECS,
ELINCS)
Active substance 1
Active
- pure a.s.
214.3
±
substance
- technical a.s. (96 %)
223 20.6
Active substance 2 (code
Active
Not
name)
114.3 ± 11 substance
assigned
- pure a.s.
117
- technical a.s. (98 %)
Wettol LF 700
114.3 ± 11 Wetting agent 68002-96Not
(C16-C18) Alkylalcohol (40, 69013- applicable
5)oligo-ethoxylate (7-9)oligo18-9
for mix of
propoxylate)
polymers
1,2-propanediol
8.4 ± 0.8 Anti-freezing
57-55-6 200-338-0
(1,2-propyleneglycol)
agent
Pluronic PE 10 500
3.2 ± 0.3 Dispersing
9003-11-6
Not
Polypropyleneglycol
agent
applicable
polyethoxylate
for mix of
polymers
2
Kathon MK for 3:1 mix of
compounds as 1.5% solution
together with magnesium
salts in water.
5-Chloro-2-methyl-4isothiazolin-3-one; 2-methyl4-isothiazolin-3-one (3:1)
Options specified :
Kathon MK ; Acticide RS
Kelzan S
Polysaccharide gum
Panasol AN-3N
Oligoalkyl-naphtalenes
Water
Total accountability
1
± 0.1 Microbiocide
26172-55- 247-5004; 26827; 22020-4 (mix 239-6 (mix
3:1)
3:1)
±
Thickener/sta
0.02 bilizer
1040
11138-66Not
2
applicable
for mix of
polymers
±
Solvent
64742-94- 265-198-5
16.5
5
(EINECS)
Solvent/carrier 7732-18-5 231-791-2
Density: 1.04
kg/l
MSDS are available for all the formulants but must be actualised.
Registration Report – Part C : declared complete by expert A. Dubois on
(date)
3