summary - formula 787

34
12423 NE Whitaker Way Portland, OR 97230 503-254-1794 Report Number: Report Date: ORELAP#: 03/29/2021 OR100028 10:25 Received: 03/23/21 Purchase Order: 21-003065/D03.R00 Product identity: D8 AK47xSkunk #03192101 Client/Metrc ID: . Customer: 03/22/21 09:30 Sample Date: 21-003065-0002 Laboratory ID: Hempsi Summary Potency: CBD-Total 15.5% THC-Total <LOQ (Reported in percent of total sample) Δ 8-THC CBD CBD-A CBC CBN CBG CBC-A THC-A CBDV CBG-A Analyte Result (%) 58.8 Δ8-THC 10.4 CBD 5.87 CBD-A 3.13 CBC 1.44 CBN 0.691 CBG 0.347 CBC-A 0.163 THC-A 0.159 CBDV 0.0997 CBG-A Page 1 of 8 www.columbialaboratories.com Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance plan unless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unless prior arrangements have been made. Testing in accordance with: OAR 333-007-0430 FoUmXla 787

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Page 1: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D03.R00

Product identity: D8 AK47xSkunk #03192101

Client/Metrc ID: .

Customer:

03/22/21 09:30Sample Date:21-003065-0002Laboratory ID:

Hempsi

Summary

Potency:

CBD-Total 15.5%

THC-Total <LOQ

(Reported in percent of total sample)

∆8-THC

CBD

CBD-A

CBC

CBN

CBG

CBC-A

THC-A

CBDV

CBG-A

Analyte Result (%)

58.8Δ8-THC†

10.4CBD

5.87CBD-A

3.13CBC

1.44CBN

0.691CBG†

0.347CBC-A†

0.163THC-A

0.159CBDV†

0.0997CBG-A†

Page 1 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Formula 787

Page 2: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D03.R00

Customer: Hempsi

3913 NE Hancock St Unit 500

Portland Oregon 97212

United States of America (USA)

Product identity: D8 AK47xSkunk #03192101

03/22/21 09:30Sample Date:

21-003065-0002Laboratory ID:

Client/Metrc ID: .

NoEvidence of Cooling:

18.8 °CTemp:

Sample Results

Batch: 2102754Potency Method J AOAC 2015 V98-6 (mod) Analyze: 3/27/21 6:37:00 AMUnits %Analyte As

Received

Dry

weight

LOQ Notes

3.13CBC 0.0864

0.347CBC-A† 0.0864

3.43CBC-Total† 0.162

10.4CBD 0.0864

5.87CBD-A 0.0864

15.5CBD-Total 0.162

0.159CBDV† 0.0864

< LOQCBDV-A† 0.0864

< LOQCBDV-Total† 0.161

0.691CBG† 0.0864

0.0997CBG-A† 0.0864

0.779CBG-Total 0.161

< LOQCBL† 0.0864

1.44CBN 0.0864

58.8Δ8-THC† 0.864

< LOQΔ9-THC 0.0864

0.163THC-A 0.0864

< LOQTHC-Total 0.162

< LOQTHCV† 0.0864

< LOQTHCV-A† 0.0864

< LOQTHCV-Total† 0.161

∆8-THC

CBD

CBD-A

CBC

CBN

CBG

CBC-A

THC-A

CBDV

CBG-A

Page 2 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Formula 787

Page 3: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D03.R00

These test results are representative of the individual sample selected and submitted by the client.

Abbreviations

Limits: Action Levels per OAR-333-007-0400, OAR-333-007-0210, OAR-333-007-0220

Limit(s) of Quantitation (LOQ): The minimum levels, concentrations, or quantities of a target variable (e.g., target

analyte) that can be reported with a specified degree of confidence.

� $QDO\WH QRW 1(/$3 DFFUHGLWHG�

Units of Measure

% = Percentage of sample

% wt = µg/g divided by 10,000

Derrick Tanner

General Manager

Approved Signatory

Page 3 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Page 4: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D03.R00

�� �

���������

Page 4 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Page 5: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D03.R00

�� �

���������

Page 5 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Page 6: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D03.R00

3EVISION���������$ONTROL���$'-�%��

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Page 6 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Page 7: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D03.R00

3EVISION���������$ONTROL���$'-�%��

3EVISION�%ATE�������������&FFECTIVE�%ATE������������

-ABORATORY�2UALITY�$ONTROL�3ESULTS

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$#% ���� ���� ��� ����� � "CCEPTABLE

5)$7 �-02 �-02 ��� /" � "CCEPTABLE

5)$7" �-02 �-02 ��� /" � "CCEPTABLE

$#/ ���� ���� ��� ������ � "CCEPTABLE

5)$ �-02 �-02 ��� /" � "CCEPTABLE

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"BBREVIATIONS

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Page 7 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Page 8: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D03.R00

Code Explanation

Q Matrix interferences affecting spike or surrogate recoveries.

Q1 Quality control result biased high. Only non-detect samples reported.

Q2 Quality control outside QC limits. Data considered estimate.

Q3 Sample concentration greater than four times the amount spiked.

Q4 Non-homogenous sample matrix, affecting RPD result and/or % recoveries.

Q5 Spike results above calibration curve.

Q6 Quality control outside QC limits. Data acceptable based on remaining QC.

R Relative percent difference (RPD) outside control limit.

R1 RPD non-calculable, as sample or duplicate results are less than five times the LOQ.

R2 Sample replicates RPD non-calculable, as only one replicate is within the analytical range.

LOQ1 Quantitation level raised due to low sample volume and/or dilution.

LOQ2 Quantitaion level raised due to matrix interference.

B Analyte detected in method blank, but not in associated samples.

B1 The sample concentration is greater than 5 times the blank concentration.

B2 The sample concentration is less than 5 times the blank concentration.

Explanation of QC Flag Comments:

Page 8 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Page 9: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D02.R00

Product identity: D8 Sour Space Candy #03182101

Client/Metrc ID: .

Customer:

03/22/21 09:30Sample Date:21-003065-0003Laboratory ID:

Hempsi

Summary

Potency:

CBD-Total 13.2%

THC-Total <LOQ

(Reported in percent of total sample)

∆8-THC

CBD

CBC

CBN

CBG

CBDV

Analyte Result (%)

52.8Δ8-THC†

13.2CBD

3.92CBC

1.66CBN

0.733CBG†

0.229CBDV†

Page 1 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Formula 787

Page 10: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D02.R00

Customer: Hempsi

3913 NE Hancock St Unit 500

Portland Oregon 97212

United States of America (USA)

Product identity: D8 Sour Space Candy #03182101

03/22/21 09:30Sample Date:

21-003065-0003Laboratory ID:

Client/Metrc ID: .

NoEvidence of Cooling:

18.8 °CTemp:

Sample Results

Batch: 2102754Potency Method J AOAC 2015 V98-6 (mod) Analyze: 3/27/21 6:59:00 AMUnits %Analyte As

Received

Dry

weight

LOQ Notes

3.92CBC 0.0976

< LOQCBC-A† 0.0976

3.92CBC-Total† 0.183

13.2CBD 0.0976

< LOQCBD-A 0.0976

13.2CBD-Total 0.183

0.229CBDV† 0.0976

< LOQCBDV-A† 0.0976

0.229CBDV-Total† 0.182

0.733CBG† 0.0976

< LOQCBG-A† 0.0976

0.733CBG-Total 0.182

< LOQCBL† 0.0976

1.66CBN 0.0976

52.8Δ8-THC† 0.976

< LOQΔ9-THC 0.0976

< LOQTHC-A 0.0976

< LOQTHC-Total 0.183

< LOQTHCV† 0.0976

< LOQTHCV-A† 0.0976

< LOQTHCV-Total† 0.182

∆8-THC

CBD

CBC

CBN

CBG

CBDV

Page 2 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Formula 787

Page 11: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D02.R00

These test results are representative of the individual sample selected and submitted by the client.

Abbreviations

Limits: Action Levels per OAR-333-007-0400, OAR-333-007-0210, OAR-333-007-0220

Limit(s) of Quantitation (LOQ): The minimum levels, concentrations, or quantities of a target variable (e.g., target

analyte) that can be reported with a specified degree of confidence.

� $QDO\WH QRW 1(/$3 DFFUHGLWHG�

Units of Measure

% = Percentage of sample

% wt = µg/g divided by 10,000

Derrick Tanner

General Manager

Approved Signatory

Page 3 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Page 12: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D02.R00

�� �

���������

Page 4 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Page 13: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D02.R00

�� �

���������

Page 5 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Page 14: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D02.R00

3EVISION���������$ONTROL���$'-�%��

3EVISION�%ATE�������������&FFECTIVE�%ATE������������

+�"0"$������7���� #ATCH�*%�

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5)$7 ��� ���� ���� � ��� "CCEPTABLE

5)$7" ��� ���� ���� � ��� "CCEPTABLE

$#/ ��� ��� ���� � ��� "CCEPTABLE

5)$ ��� ��� ���� � ��� "CCEPTABLE

%�5)$ ��� ���� ���� � ��� "CCEPTABLE

$#- ��� ��� ���� � ��� "CCEPTABLE

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5)$" ��� ��� ���� � ��� "CCEPTABLE

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5)$7 ��� � "CCEPTABLE

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"BBREVIATIONS

/%�� /ONE�%ETECTED�AT�OR�ABOVE�.3-

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Page 6 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Page 15: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D02.R00

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Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Page 16: Summary - Formula 787

12423 NE Whitaker Way

Portland, OR 97230

503-254-1794

Report Number:

Report Date:

ORELAP#:

03/29/2021

OR100028

10:25Received: 03/23/21

Purchase Order:

21-003065/D02.R00

Code Explanation

Q Matrix interferences affecting spike or surrogate recoveries.

Q1 Quality control result biased high. Only non-detect samples reported.

Q2 Quality control outside QC limits. Data considered estimate.

Q3 Sample concentration greater than four times the amount spiked.

Q4 Non-homogenous sample matrix, affecting RPD result and/or % recoveries.

Q5 Spike results above calibration curve.

Q6 Quality control outside QC limits. Data acceptable based on remaining QC.

R Relative percent difference (RPD) outside control limit.

R1 RPD non-calculable, as sample or duplicate results are less than five times the LOQ.

R2 Sample replicates RPD non-calculable, as only one replicate is within the analytical range.

LOQ1 Quantitation level raised due to low sample volume and/or dilution.

LOQ2 Quantitaion level raised due to matrix interference.

B Analyte detected in method blank, but not in associated samples.

B1 The sample concentration is greater than 5 times the blank concentration.

B2 The sample concentration is less than 5 times the blank concentration.

Explanation of QC Flag Comments:

Page 8 of 8www.columbialaboratories.com

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements of NELAP and the Columbia Laboratories quality assurance planunless otherwise noted. This report shall not be reproduced, except in full, without the written consent of this laboratory. Samples will be retained for a maximum of 30 days from the receipt date unlessprior arrangements have been made.Testing in accordance with: OAR 333-007-0430

Page 17: Summary - Formula 787

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Page 22: Summary - Formula 787

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Page 24: Summary - Formula 787

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Page 25: Summary - Formula 787

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Page 26: Summary - Formula 787

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Page 27: Summary - Formula 787

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Page 28: Summary - Formula 787

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Page 29: Summary - Formula 787

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Page 31: Summary - Formula 787

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Page 33: Summary - Formula 787

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Page 34: Summary - Formula 787

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