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UH-20260514-C8F9

#1155 - Prior Lake · 05/14/2026 at 3:30 PM · 15842 Island View

OpenGasAt fault: Yes

Claim statusOpenRequestedNot recordedSettledNot settledOffice sign-in to update

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1

Job & timing

Job number: #1155 - Prior Lake
Date of damage: 05/14/2026
Time of damage: 3:30 PM
Form filled out: 08/26/2026
Submitted: 08/26/2026 11:25 AM
Person filling out form: Ryan Quam
Foreman on the job: Ryan Quam

2

Office notification

Date office notified: 05/14/2026
Method of notification: Cell
Who was contacted: Mike Holasek

3

Utilities hit

Location of utility hit: 15842 Island View

GasCenterpoint

Utility type: Gas
Utility company: Centerpoint
Utility notified: Yes
Company arrived onsite: Yes
GSOC #: 26031154
Most recent locate: 05/14/2026
How it was marked: Paint, Flag
Marks accurate or off: NA

4

What happened

Summary of incident: we had dug past the gas service and part of the bank sluffed in breaking the gas
Are we at fault?: Yes
Why?: should have topped off dirt further
Utility said we are NOT responsible?: No

5

Pictures (4)

4 taken by Ryan Quam

Incident photo 1 — DownloadPhoto 1 — uploaded 08/26/2026 11:25 AM · camera file dated 08/26/2026 11:04 AM

Incident photo 2 — DownloadPhoto 2 — uploaded 08/26/2026 11:25 AM · camera file dated 08/26/2026 11:04 AM

Incident photo 3 — DownloadPhoto 3 — uploaded 08/26/2026 11:25 AM · camera file dated 08/26/2026 11:04 AM

Incident photo 4 — DownloadPhoto 4 — uploaded 08/26/2026 11:25 AM · camera file dated 08/26/2026 11:04 AM

6

Signature

Signature

Signed by Ryan Quam on 08/26/2026

7

Claim history

Every status change, newest first.

Open08/26/2026 11:25 AM · Ryan Quam
Report filed from the field.