| Type of Incident: | Injury |
| Match Number: | 6480 |
| Date of Incident: | 2017-11-11 |
| Time of Incident: | 09:40:00 |
| Location of Incident: | San Joaquin Delta College |
| Competition: | 2017_SOR_FALL_ |
| Home Team: | ESA209 San Juan South 99 |
| Visiting Team: | Ceres Earthquake FC Elite |
| Age Group and Gender: | U19G |
| Team Affiliation of Individual Committing Incident: | ESA209 San Juan South 99 |
| Incident Summary: | Injury Report |
| Comments: | Injury Report - no action taken. |
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