The Virgin Material Origin Statement (VMOS) only replaces a completed profile form and analysis for liquids and/or solids contaminated with virgin fuel oils. Oils that are waste products as a result of process use or mixing with other product must be supported by analytical test results and/or a completed waste profile form that is approved by ENPRO Services of Maine, Inc., prior to acceptance.

VIRGIN MATERIAL ORIGIN STATEMENT  CLICK HERE TO DOWNLOAD

The Virgin Material Origin Form is divided into several sections and requires the following information:

• Customer (company bringing the waste to EMI)
• Purchase Order Number
• Generator Name
• Generator Mailing Address
• Generator Contact
• Title
• Phone
• Site Location Address 
  This is the address that the waste was actually picked up from, not the mailing or main office location.
• Generator USEPA ID Number
  This number should be issued for and represent the physical location of a waste pick up. If your company has a USEPA ID number for their main location, but the waste is generated from a spill off-site, a temporary, or possibly permanent USEPA ID number must be acquired from the state environmental agency at which the waste pick up occurred. EMI can assist you in obtaining this number.
• Transporter
  This field is for the name of the properly licensed transporter that will be delivering your waste to EMI.

• Origin
  The source of your virgin petroleum waste and type of petroleum product

• Process Generating the Waste

• Waste Composition
  % fuel oil, % water, % debris
  (describe type of debris, such as rags absorbents etc.)

• Estimated Volume

• Certification
  This section must be signed by the waste generator or his/her authorized representative. No waste stream(s) will be accepted at EMI without a proper generator certification signature.