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UH-20260429-OWJS

#1155 - Prior Lake · 04/29/2026 at 1:08 PM · Island View Intersection

OpenTelephoneAt fault: No

Claim statusOpenRequestedNot recordedSettledNot settledOffice sign-in to update

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1

Job & timing

Job number: #1155 - Prior Lake
Date of damage: 04/29/2026
Time of damage: 1:08 PM
Form filled out: 09/08/2026
Submitted: 09/08/2026 5:17 PM
Person filling out form: Beth Tatge
Foreman on the job: Barry Sampson

2

Office notification

Date office notified: 04/29/2026
Method of notification: Cell
Who was contacted: Mike Holasek

3

Utilities hit

Location of utility hit: Island View Intersection

TelephoneAt&T

Utility type: Telephone
Utility company: At&T
Utility notified: Yes
Company arrived onsite: Yes
GSOC #: —
Most recent locate: —
How it was marked: Other — Not marked
Marks accurate or off: Not Marked

4

What happened

Summary of incident: Didn't know it went across the road called Mike
Are we at fault?: No
Why?: Not Marked
Utility said we are NOT responsible?: No

5

Pictures (4)

4 taken by Beth Tatge

Incident photo 1 — DownloadPhoto 1 — uploaded 09/08/2026 5:17 PM · camera file dated 03/29/2023 9:17 AM

Incident photo 2 — DownloadPhoto 2 — uploaded 09/08/2026 5:17 PM · camera file dated 03/29/2023 9:17 AM

Incident photo 3 — DownloadPhoto 3 — uploaded 09/08/2026 5:17 PM · camera file dated 03/29/2023 9:17 AM

Incident photo 4 — DownloadPhoto 4 — uploaded 09/08/2026 5:17 PM · camera file dated 03/29/2023 9:17 AM

6

Signature

Signature

Signed by Beth Tatge on 09/08/2026

7

Claim history

Every status change, newest first.

Open09/08/2026 5:17 PM · Beth Tatge
Report filed from the field.