| Type of Incident: | Referee |
| Match Number: | 8627 |
| Date of Incident: | 2022-11-05 |
| Time of Incident: | 11:00:00 |
| Location of Incident: | Kelly Park |
| Competition: | 2022_SOR_FALL_ |
| Home Team: | NorCal |
| Visiting Team: | Head Referee |
| Age Group and Gender: | U15G |
| Team Affiliation of Individual Committing Incident: | Head Referee |
| Incident Summary: | Complaint about the behavior of the referee. |
| Comments: | The PAD Committee does not discipline referees. Please contact the home club's referee assignor or CNRA. |
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