| Type of Incident: | Safety/COVID Protoco |
| Match Number: | 214 |
| Date of Incident: | 2021-04-25 |
| Time of Incident: | 03:10:00 |
| Location of Incident: | Fallon Sports Park 4S in Dublin |
| Competition: | 2021_SOR_RTP_ |
| Home Team: | Dublin United 09B Select |
| Visiting Team: | San Pablo Lions Blue |
| Age Group and Gender: | U12B |
| Team Affiliation of Individual Committing Incident: | Dublin United 09B Select |
| Incident Summary: | Complaint regarding mask wearing. |
| Comments: | This is not a PAD issue. Please contact the County of Alameda health officer charged with overseeing these issues. |
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