UH-20260511-X0BS
#1155 - Prior Lake · 05/11/2026 at 12:00 PM · 15923 Island View Rd
OpenCableAt fault: No
1
Job & timing
- Job number
- #1155 - Prior Lake
- Date of damage
- 05/11/2026
- Time of damage
- 12:00 PM
- Form filled out
- 09/08/2026
- Submitted
- 09/08/2026 5:25 PM
- Person filling out form
- Beth Tatge
- Foreman on the job
- Bronson Seifert via Barry
2
Office notification
- Date office notified
- 05/11/2026
- Method of notification
- Cell
- Who was contacted
- Mike Holasek
3
Utilities hit
- Location of utility hit
- 15923 Island View Rd
OtherMediacom
- Utility type
- Cable
- Utility company
- Mediacom
- Utility notified
- Yes
- Company arrived onsite
- Yes
- GSOC #
- —
- Most recent locate
- —
- How it was marked
- Paint, Flag
- Marks accurate or off
- Accurate
4
What happened
- Summary of incident
- Trucked pumped up mediacom's temp wires and broke.
- Are we at fault?
- No
- Why?
- Temp too shallow
- Utility said we are NOT responsible?
- No
5
Pictures (4)
4 taken by Beth Tatge




6
Signature

Signed by Beth Tatge on 09/08/2026
7
Claim history
Every status change, newest first.
- Open
Report filed from the field.