Ryan ContractingUtility Hit Report

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UH-20260515-HCXH

#1155 - Prior Lake · 05/15/2026 at 1:40 PM · 3579 Island View Circle

OpenCableAt 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
05/15/2026
Time of damage
1:40 PM
Form filled out
09/08/2026
Submitted
09/08/2026 4:53 PM
Person filling out form
Beth Tatge
Foreman on the job
Barry Sampson
2

Office notification

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

Utilities hit

Location of utility hit
3579 Island View Circle
OtherMediacom
Utility type
Cable
Utility company
Mediacom
Utility notified
Yes
Company arrived onsite
Yes
GSOC #
260831154
Most recent locate
—
How it was marked
Paint, Flag
Marks accurate or off
Accurate
4

What happened

Summary of incident
Watermain ditch caved in.
Are we at fault?
Yes
Why?
Ditch caved in
Utility said we are NOT responsible?
No
5

Pictures (4)

4 taken by Beth Tatge

Incident photo 1
DownloadPhoto 1 — uploaded 09/08/2026 4:52 PM · camera file dated 03/29/2023 9:17 AM
Incident photo 2
DownloadPhoto 2 — uploaded 09/08/2026 4:52 PM · camera file dated 03/29/2023 9:17 AM
Incident photo 3
DownloadPhoto 3 — uploaded 09/08/2026 4:53 PM · camera file dated 03/29/2023 9:17 AM
Incident photo 4
DownloadPhoto 4 — uploaded 09/08/2026 4:53 PM · camera file dated 03/29/2023 9:17 AM
6

Signature

Signature

Signed by Beth Tatge on 09/08/2026

7

Claim history

Every status change, newest first.