Form-1 - Complaint Form 2000 Page 2
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3(For Official Use Only) Report No.______Case No._________Date___________
SECTION III: PROBABLE VIOLATIONS (CHECK ALL THAT APPLY)
1.) ___Failure to contact UPC before commencing excavation (or blasting) with
mechanized equipment (25-9-6 (a)).
2.) ___Failure to exercise reasonable care to protect utility facility in the tolerance zone
(25-9-8 (b)).
3.) ___Failure to wait 48 hours, beginning the next business day after notifying UPC
before commencing excavation (25-9-6 (a)).
4.) ___Failure to wait until 12:00 noon on the third business day after notifying UPC in
order to allow the facility owner/operator a “second chance” to respond (25-9-7 (d)).
5.) ___Failure to notify UPC when excavation relating to a locate request is modified to
include blasting (25-9-6 (e)).
6.) ___Failure of a facility owner/operator to respond to the Georgia Ticket Information
Exchange System (25-9-7 (b)).
7.) ___Failure of a facility owner/operator to respond to a second (request) notification
(25-9-7 (d)).
8.) ___Failure of a facility owner/operator to mark facilities within 24 inches of their
location (25-9-9 (a)).
9.) ___Failure of a facility owner/operator to locate and mark facilities within 48 hours
(25-9-7 (a)).
10.) ___ Failure of a facility owner/operator to locate or provide sufficient information on
abandoned facilities that are abandoned on or after 01/01/01 (25-9-7 (f)).
11.) ___Failure of a facility owner/operator to construct “locatable facilities” installed on or
after 01/10/01 (25-9-7 (e)).
12.) ___Failure of a facility owner/operator to respond within 24 hours to a locate request
that has been modified to include blasting (25-9-6 (e)).
13.) ___Failure to meet emergency excavation notice requirements (false emergencies)
(25-9-12).
14.) ___ Failure of a facility owner/operator to become a member of UPC (25-9-5 (a)).
15.) ___ Failure to describe the proposed excavation site with sufficient particularity as
defined by UPC Policy (25-9-6 (a) (1)).
16.) ___ Failure to mark the route or boundary of proposed excavation or schedule an on-
site meeting when sufficient particularity cannot be established (25-9-6 (b)).
17.) ___ Failure to schedule excavation prior to contacting UPC for locate request except
for design locate requests (25-9-6 (d)).
18.) ___ Failure to submit a request for remarking (Restake) if excavation will continue
beyond 21calendar days of the previous locate request (25-9-6 (c)).
19.) ___Making repeated, unnecessary locate requests, unless the repeated request is
required for excavation to continue past the expiration date of the original notice, or
due to circumstances not reasonably within the control of the excavator (25-9-6 (d)).
20.) ___ Failure of a facility owner/operator to clarify noncompliance with master
contractor specifics (25-9-6 (f)).
21.) ___Failure of a subcontractor of a master contractor to be in compliance with master
contract specifics (25-9-6 (f)).
22.) ___ Failure to cease excavation and/or blasting after striking a facility (25-9-6 (c)).
23.) ___ Failure to notify both the UPC and the affected utility facility owner after a
damage occurs (25-9-8 (c)).
24.) ___ Failure of a facility owner/operator to effect temporary or permanent repairs to a
damaged facility (25-9-8 (c)).
25.) ___Other___________________________________________________________
Page 4 of 5
GUFPA Form-1, Revised 08/20/00
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