UH-20260515-6NWO
#1155 - Prior Lake · 05/15/2026 at 1:37 PM · island view circle 3579
ClosedGasAt fault: Yes
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




6
Signature

Signed by Barry Sampson on 08/26/2026
7
Claim history
Every status change, newest first.
- ClosedRequested $791
Accepted reduced price $791.00 from $877.93
- Damage Claim Received ($ Penalty)Claim # 1CNP202603398-xx
Ditch caved in
- Damage Claim Received ($ Penalty)Requested $877.93Claim # 2MN385616
Ditch caved in. Am working to get the invoice reduced.
- Open
Report filed from the field.