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UH-20260602-LCK9

#1158 - Brooklyn Center · 06/02/2026 at 3:00 PM · 5425 Humboldt Ave

ClosedGasAt fault: Yes

Claim statusClosedRequested$1,834.46SettledNot settledOffice sign-in to update

Download PDFOffice sign-in

1

Job & timing

Job number: #1158 - Brooklyn Center
Date of damage: 06/02/2026
Time of damage: 3:00 PM
Form filled out: 09/08/2026
Submitted: 09/08/2026 5:39 PM
Person filling out form: Beth Tatge
Foreman on the job: Corey Sogge

2

Office notification

Date office notified: 06/02/2026
Method of notification: Cell
Who was contacted: Beth Tatge

3

Utilities hit

Location of utility hit: 5425 Humboldt Ave

GasCenterpoint

Utility type: Gas
Utility company: Centerpoint
Utility notified: Yes
Company arrived onsite: Yes
GSOC #: 261201981
Most recent locate: —
How it was marked: Paint, Flag
Marks accurate or off: Accurate

4

What happened

Summary of incident: Roller spun tire on top of line.
Are we at fault?: Yes
Why?: Roller tire spun on line
Utility said we are NOT responsible?: No

5

Pictures (4)

4 taken by Beth Tatge

Incident photo 1 — DownloadPhoto 1 — uploaded 09/08/2026 5:38 PM · camera file dated 03/29/2023 9:17 AM

Incident photo 2 — DownloadPhoto 2 — uploaded 09/08/2026 5:38 PM · camera file dated 03/29/2023 9:17 AM

Incident photo 3 — DownloadPhoto 3 — uploaded 09/08/2026 5:38 PM · camera file dated 03/29/2023 9:17 AM

Incident photo 4 — DownloadPhoto 4 — uploaded 09/08/2026 5:38 PM · camera file dated 03/29/2023 9:17 AM

6

Documents & recordings (1)

Paperwork, audio and video attached to this report.

1CNP2026203156-BG report.pdf3.0 MB · added by Beth Tatge on 10/07/2026 2:13 PMDownloadAdded later

7

Signature

Signature

Signed by Beth Tatge on 09/08/2026

8

Claim history

Every status change, newest first.

Closed10/19/2026 11:03 AM · Beth TatgeRequested $1,834.46
Neg from $2038.29 to $1834.46
RCC Accepted Fault10/07/2026 2:13 PM · Beth Tatge
Added 1 file: 1CNP2026203156-BG report.pdf — USIC
RCC Accepted Fault10/07/2026 2:12 PM · Beth Tatge
Claim - 1CNP2026203156-BG
RCC Accepted Fault10/07/2026 2:11 PM · Beth tatgeRequested $2,038.29
I will negoiate to lower price.
Open09/08/2026 5:39 PM · Beth Tatge
Report filed from the field.