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05
UNITED STATES ENVIRONMENTAL PROTECTION AGENCYWASHINGTON, D.C. 20460
OFFICE OF CHEMICAL SAFETYAND POLLUTION PREVENTION
PineBelt Processing, Inc "**' 2 3 2012c/o Henry Jacoby Regulatory Consultant6709 Ilex CourtNew Market, MD 21774
Dear Mr. Jacoby:
Subject: Application for Pesticide Notification (PRN 98-10)Add article names to hang-tag labelPerimeter Insect Guard, Insect Repellant ApparelEPA Reg. No. 82392-1Your submission dated January 5, 2012
The Agency is in receipt of your Application for Pesticide Notification under PesticideRegistration Notice (PRN) 98-10 dated January 5, 2012 for the above product. The RegistrationDivision (RD) has conducted a review of this request for its applicability under PRN 98-10 and findsthe action requested falls within the scope of PRN 98-10. The label submitted with the applicationhas been stamped "Notification" and will be placed in our records.
If you have any questions regarding this letter, please contact Dana Pilitt, PhD of my staff at(703) 305-7071 or via e-mail at [email protected] .
Sincerely,
r— Richard GebkenProduct Manager 10Insecticide BranchRegistration Division (7505P)
United States
^> F P A Environmental Protection Agency^^ Washington DC 20460
MUM
•MM*
.gistrationAmendmentOther
OPP Identifier Number
Application for Pesticide - Section I1 Company/Product Number
t. Company/Product (Name)Perimeter Insect Guard, Insect Repellent Apparel
5. Name and Address of Applicant (Include ZIP Code)PineBelt Processing, Inc
P. O. Box 549, 1 122 South Erwin
Stonewall, MS 39363
Icrtec/c if this is a new address
2. EPA Product ManagerRichard Gebken
PM#34
3 Proposed Classification
| / | None 1 Restncted
6. Expedited Review. In accordance with FIFRA Section 3(c)(3)(b)(i), my product is similar or identical in composition and labelingto:EPA Reg. No.
Product Name
Section -
Amendment - Explain below
Resubmission in response to Agency letter dated.
Notification - Explain below.
nFinal printed labels in response toAgency letter dated"Me Too" Application.
Other - Explain below.
Explanation: Use additional page(s) if necessary. (For section I and Section II.)
This notification requests the addition of article names to the label. This notification is consistent with the provisions of PR Notice 98-10and EPA regulations at 40 CFR 152.46, and no other changes have been made to the labeling or the confidential statement of formula of thisproduct. 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 ifthis notification is not consistent with the terms of PR Notice 98-10 and EPA regulations at 40 CFR 152.46, this product may be in violationof FIFRA and I may be subject to enforcement action and penalties under sections 12 and 14 of FIFRA.
Section - III1. Material This Product Will Be Packaged In:
Child-Resistant Packaging
[ Yes"
~ No
* Certification mustbe submitted
If "Yes"Unit Packaging wgt
No. percontainer
Water Soluble Packaging
I I Yes
If "Yes"Package wgt
No percontainer
2. Type of Container
MetalPlasticGlassPaperOther (Specify) fabric
3. Location of Net Contents Information
I Label J Container
6. Manner in Which Label is Affixed to Product
4. Size(s) Retail Container
N/ALocation of Label Directions
On LabelOn Labeling accompanying product
LithographPaper gluedStenciled
I/I other Attached to the garment
Section -IV1. Contact Point (Complete items directly below for Identification of individual to be contacted if necessary, to process this application.)
NameHenry Jacoby
Title Telephone No. (Include Area Code)g (301)865-9090
CertificationI certify that the statements I have made on this form and all attachments thereto are true, accurate and complete.I acknowledge that any knowingly false or misleading statement may be punishable by fine or imprisonment orboth unaer applicable law*
2 Signature ^~~? L^ /)
ft* &**'
1 Typed Name
Ron Lack
3. Title
General Manager
5. Date
January 5, 2012
6. Date ApplicationReceiver
(Stamped)
EPA Form 8570-1 (Rev. 8-94) Previous editions are obsolete White - EPA F-Ue-Copy (original) Yel'O'v - Applicant Cep
->l "j
PineBelt Processing, Inc
January 5, 2012
Document Processing Desk (NOTIF)Office of Pesticide Programs 7504P)One Potomac Yard2777 South Crystal DriveArlington, VA 22202
Dear Sir:
RE: Perimeter Insect Guard, Insect Repellent ApparelEPA Reg. No. 82392-1
PineBelt Processing, Inc., has requested Henry Jacoby to assist in the reregistrationactivities for the above subject product. Please refer to the December 22, 2004 letter of record signed byDonald C. Saxon, President of PineBelt Processing, Inc.
Please forward all correspondence relative to this submission to Henry Jacoby RegulatoryConsultant, 6709 Ilex Court, New Market, MD 21774.
This application submits a notification to add individual item title to presently acceptedlabel. This notification is consistent with the provisions of PR Notice 98-10 and EPA regulations at 40CFR 152.46, and no other changes have been made to the labeling or the confidential statement of formulaof this product. I understand that it is a violation of 18 U.S.C. Sec. 1001 to willfully make any falsestatement to EPA. I further understand that if this notification is not consistent with the terms of PR Notice98-10 and EPA regulations at 40 CFR 152.46, this product may be in violation of FIFRA and I may besubject to enforcement action and penalties under sections 12 and 1'4 of FIFRA.
CONTENTS OF SUBMISSIONEPA Form 8570-1 Application form1 copy of Master Label and Military Apparel Label2 copies of proposed changes to the Hang tag.
If you have any questions or need additional information, contact Henry Jacoby at 301-865-9090
Regards,
I I I II I «Ron LackGeneral Manager
113 Fellowship Road, P. O. Box 557Taylorsville, Mississippi 39168
Voice (601) 785-4476 Fax (601) 785-6526
Draft label1/5/2012
Hang-tag placed outside of garment (removable by consumer)
[***** alternate language *****]
Perimeter Insect Guard MAX 2 3Insect Repellant Apparel
[Coat, Army Combat Uniform][Coat, Army Combat Uniform, Flame Resistant]
[Trouser, Army Combat Uniform][Trouser, Army Combat Uniform, Flame Resistant]
PineBelt, Inc.1122 South Erwin RoadStonewall, MS 39636
EPA Reg. No. 82392-1EPA Est. No. 82392-MS-l
ACTIVE INGREDIENT:Permethrin 0.52%OTHER INGREDIENTS (Garment) 99.48%Total 100.00%
• This garment has been treated with the insect repellent, permcthrin.• repels mosquitoes, ticks, ants, flies, chiggers, and midges• Do Not Dry clean. Dry cleaning removes active ingredient.• Kept-liency remains effective for 25 washings, [for 50 washings]• Do not retreat garment/fabric with other Permethrin insect products.• For protection of exposed skin, use in conjunction with an insect icide registered for
direct skin application.• Wash treated garments separately from other garments. Garment may be
laundered with other clothing when in the field or combat situations.
Storage and DisposalDot not contaminate water, food or feed by storage or disposalDisposal: Discard in trash when clothing is worn out. Do not reuse clothing for otherpurposes other than originally intented.
Retain this tag for future reference on proper handling of this Garment.
It is a violation of Federal Law to use this product in a manner inconsistent with itslabeling.
51
Carton label2/23/2006
It is a violation of Federal Law to use this product in a manner inconsistent with its labeling.
PERIMETERINSECT GUARDINSECT REPELLANT APPAREL
Perimeter Insect Guard Insect RepellantApparel
EPA Reg. No. 82392-1EPAEstNo. 82392-MS-
Active IngredientPermethrin 0.52%
Other Ingredients (Garment) 99.48%100.00%
Manufactured by PineBelt Processing, Inc.Stonewall, MS 39636
STORAGE AND DISPOSALDot not contaminate water, food or feed by storage or disposalDisposal: Discard in trash when clothing is worn out. Do not reuse clothing for otherpurposes than as a garment.
See label on Individual Garment for Additional Information
Net Contents: (x) treated garments
INSECT '.GUARD':•UMSEp,T«EPELf_ANT APPAHEL ® -
' :;;;OolNot Dry Cleanj?e :51;;. . an^(^fffes.;,. ...peferKfrBinalRSBffetlyefot SU
EPA'REfi.«0..82392-i: EPA ESt®. 8239Z.MS-0(M
tag ftjf ;iiu'c ir
PERIMETERINSECT GUARD
INSECT HEPELLANT APPAREL
H is a irfolstion of Federal Law to usa this praduclin a maMef Incc^sistont with it's fab6*ng
ACTIVE INGREDIENT: %W/WPem«8)rin .......... _ ...... „
OTHER INGREDIENTS: (Garrnort) ..........
To« ................................................... 100.00%
• This garment has been treated with the insectrepeftent, Pennethrin.
« Repels mosquitoes, ticks, ants, spktefs, ties,cftlggere, am mtdges.
• OoNol Dry Clean -Oiy cleaning removes active
• Repctlency remains effective for 50 washes.• Do not feir«at gamientlsonc with olMr pemwmrin
insect products.• For protection of exposed skin, use in conjunction
with an insactksde registeied for direct applicationto the skm.
• Wash treated garment separately from othergarments. Garment may t>e laundered with otherclothing Atien in the field or combat situations.
EPA Reg. No. 62392-1EPAEst.No,8239?-M&#>1 .
PinoBell Processing, Inc.1122 SoultiEmin RoadStonewall. MS 39363
Storage and DisposalDo not Gontarranato water, food or feud by storage or disposal.Disposal: Discard in trash when dothing is worn out. Do not reusedothfng/fabDG for purposes other than originally intended.
Detain this tag for future reference on proper handling of thisgarment. This tag must not be removed except by cor.*binef.
1"I[25 washings] - alternate language
Paper hang tag attached to garment
O
INSECT GUARDINSECT REPELLANT APPAREL
It is a violation of Federal Law to use this productin a matter inconsistent with it's labeling
ACTIVE INGREDIENT: % W/WPermethrin 0.52%
OTHER INGREDIENTS. (Garment) 99.48 %
Total 100.00%
• This garment has been treated with the insectrepellent, Permethnn.
• Repels mosquitoes, ticks, ants, spiders, flies,chiggers, and midges.
• Do Not Dry Clean - Dry cleaning removes activeingredient.
• Repellency remains effective for.50 washes.• Do not retreat garment/fabric with other permethrin
insect products.• For protection of exposed skin, use in conjunction
with an insecticide registered for direct applicationto the skin.
• Wash treated garment separately from othergarments. Garment may be laundered with otherclothing when in the field or combat situations.
EPA Reg. No. 82392-1EPA Est. No. 82392-MS-001
PineBelt Processing, Inc.Stonewall, MS 39363
Storage and DisposalDo not contaminate water, food or feed by storage or disposal.Disposal: Discard in trash when clothing is worn out. Do not reuseclothing/fabnc for purposes other than originally intended.
Retain this tag for future reference on proper handling of thisgarment. This tag must not be removed except by consumer.