Ryan ContractingUtility Hit Report

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UH-20260515-6NWO

#1155 - Prior Lake · 05/15/2026 at 1:37 PM · island view circle 3579

ClosedGasAt fault: Yes
Claim statusClosedRequested$791SettledNot settledClaim #1CNP202603398-xxOffice sign-in to update
1

Job & timing

Job number
#1155 - Prior Lake
Date of damage
05/15/2026
Time of damage
1:37 PM
Form filled out
08/26/2026
Submitted
08/26/2026 11:05 AM
Person filling out form
Barry Sampson
Foreman on the job
Barry Sampson
2

Office notification

Date office notified
05/15/2026
Method of notification
Cell
Who was contacted
Mike Holasek
3

Utilities hit

Location of utility hit
island view circle 3579
GasCenterpoint
Utility type
Gas
Utility company
Centerpoint
Utility notified
Yes
Company arrived onsite
Yes
GSOC #
260831154
Most recent locate
05/15/2026
How it was marked
Paint, Flag
Marks accurate or off
markings were covered by temp road
4

What happened

Summary of incident
old water main ditch bank caved in where old hyrdrant was. Old hydrant was cut offf. Caved in pulled 1/2 service apart
Are we at fault?
Yes
Why?
bank caved / metro tech on the gas main
Utility said we are NOT responsible?
No
5

Pictures (4)

4 taken by Barry Sampson

Incident photo 1
DownloadPhoto 1 — uploaded 08/26/2026 11:04 AM · camera file dated 08/26/2026 11:04 AM
Incident photo 2
DownloadPhoto 2 — uploaded 08/26/2026 11:04 AM · camera file dated 08/26/2026 11:04 AM
Incident photo 3
DownloadPhoto 3 — uploaded 08/26/2026 11:05 AM · camera file dated 08/26/2026 11:04 AM
Incident photo 4
DownloadPhoto 4 — uploaded 08/26/2026 11:05 AM · camera file dated 08/26/2026 11:04 AM
6

Signature

Signature

Signed by Barry Sampson on 08/26/2026

7

Claim history

Every status change, newest first.