Ryan ContractingUtility Hit Report

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UH-20260507-1SS4

#1155 - Prior Lake · 05/07/2026 at 12:00 PM · 15871 Island View Rd NW

Damage Claim Received (under investigation)CableAt fault: No
Claim statusDamage Claim Received (under investigation)Requested$3,962.40SettledNot settledClaim #MC-213740Office sign-in to update
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1

Job & timing

Job number
#1155 - Prior Lake
Date of damage
05/07/2026
Time of damage
12:00 PM
Form filled out
09/09/2026
Submitted
09/09/2026 8:47 AM
Person filling out form
Beth Tatge
Foreman on the job
Ryan Quam
2

Office notification

Date office notified
05/07/2026
Method of notification
Cell
Who was contacted
Mike Holasek
3

Utilities hit

Location of utility hit
15871 Island View Rd NW
OtherMediacom
Utility type
Cable
Utility company
Mediacom
Utility notified
Yes
Company arrived onsite
Yes
GSOC #
—
Most recent locate
—
How it was marked
—
Marks accurate or off
Unknown no form filled out
4

What happened

Summary of incident
Unknown no form filled out.
Are we at fault?
No
Why?
Unknown no form filled out. Requested information from Ryan Quam on 8/24/26 - haven't heard back.
Utility said we are NOT responsible?
No
5

Pictures (4)

4 taken by Beth Tatge

Incident photo 1
DownloadPhoto 1 — uploaded 09/09/2026 8:45 AM · camera file dated 03/29/2023 9:17 AM
Incident photo 2
DownloadPhoto 2 — uploaded 09/09/2026 8:45 AM · camera file dated 03/29/2023 9:17 AM
Incident photo 3
DownloadPhoto 3 — uploaded 09/09/2026 8:45 AM · camera file dated 03/29/2023 9:17 AM
Incident photo 4
DownloadPhoto 4 — uploaded 09/09/2026 8:45 AM · camera file dated 03/29/2023 9:17 AM
6

Signature

Signature

Signed by Beth Tatge on 09/09/2026

7

Claim history

Every status change, newest first.