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A report is required to be filed by the owner of underground facilities
(16-345-3(a)(3) regulations of conn. state agencies). connecticut statutes allow PURA to
levy a civil penalty up to $40,000 for failure to comply with anyprovision of the statute or regulations. this report may be used in actions imposing a civil penalty for violation of the statutes and regulations.
Therefore, FILL OUT THIS FORM ACCURATELY, AND FILE NOT LATER THAN THE 15th OF THE MONTH FOLLOWING THE INCIDENT. CBYD, Inc. acts as an information clearinghouse, and assumes no liability or prosecutorial position in compiling and transmitting these records.