| Type of Incident: | Referee |
| Match Number: | 744 |
| Date of Incident: | 2019-09-22 |
| Time of Incident: | 11:00:00 |
| Location of Incident: | Ceres River Bluff Park |
| Competition: | 2019_SOR_NCSC_ |
| Home Team: | Referee Crew - Center: Anthony ? Assista |
| Visiting Team: | Referee Crew |
| Age Group and Gender: | U16B |
| Team Affiliation of Individual Committing Incident: | Referee Crew |
| Incident Summary: | Claims that the incident report leading to a PAD decision were fabricated. |
| Comments: | To object to a decision previously made by the PAD Committee, you need to file an appeal pursuant to the NorCal Code of Ethics. |
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