Specification

Please read instructions on reverse before completing form.
Form Approved. OMB No. 2070-0060. Approval expires 2-28-95
&EPA
United States
Environmental Protection Agency
Washington, DC 20460
Registration
I Amendment
Other
OPP Identifier Number
Application for Pesticide - Section I
1 . Company/Product Number
82052-6
4. Company/Product (Name)
Moss & Algae Control and Moss Control
5. Name and Address of Application (Include ZIP Code)
Cutting Edge Formulations, Inc
3057 Summer Oak Place
Buford.GA 30518
I I Check if this is a new address
2. EPA Product Manager
Kable Davis
PM#
25
3. Proposed Classification
E None l~l Restricted
6. Expedited Review. In accordance with FIFRA Section 3(c)(3)
(b)(i), my product is similar or identical in composition and labeling
to:
EPA Reg. No.
Product Name
Section II
| | Amendment — Explain below.
I I Resubmission in response to Agency letter dated
Final printed labels in response
Agency letter dated
'NOTIFICATION
Notification - Explain below.
I | "Me Too" Application.
J Other — Explain below.
APR 16 2012
Explanation: Use additional page(s) if necessary. (For section I and Section II.)
Notification of optional label statement to remove a specific use for one state (CA DPR), 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 formula 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 terms 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
Child-Resistant Packaging
n Yes
* Certification must
be submitted
Unit Packaging
DYes
m NO
If •Yes-
Unit Packaging wgl
3. Location of Net Contents Information
[X] Label D Container
No. per
Container
Water Soluble Packaging
Dves
IfYes" No. per
Package wgt container
2. Type of Container
[X] Metal
US Plastic
I I Glass
I I Paper
l~l Other (Specify)
4. Size(s) Retail Container 5. Location of Label Directions
1 Qt
@ On Label
I | On Labeling accompanying product
6. Manner in Which Label is Affixed to
Product
I I Lithograph
S Paper glued
I I Stenciled
CH Other,
Section IV
1. Contact Point (Complete items directly below for identification of individual to be contacted, if necessary, to process this application.)
Name Title
Susan Macintosh Regulatory Consultant for CEF
Telephone No. (Include Area Cor'eJ
651-340-1262
Certification
1 certify that the statements 1 have made on this form and all attachments thereto are true, accurate and com|jlete.
1 acknowledge any knowingly false or misleading statement may be punishable by fine or imprisonment or
both under applicable law. |
2. Signature
^^-V^^kfoJ^
4. Typed Name
Susan Macintosh
3. Title
Regulatory Consultant for CEF
5. Date
5 April 2012
6. Date Application
Received
(S> am pea)