| Type of Incident: | Injury |
| Match Number: | 1647 |
| Date of Incident: | 2015-10-04 |
| Time of Incident: | 06:45:00 |
| Location of Incident: | Redwood City, CA Red Morton-McGarvey Field |
| Competition: | 2015_SOR_FALL_ |
| Home Team: | 04B Pre Academy Nero |
| Visiting Team: | Burlingame SC 03B Arsenal FC |
| Age Group and Gender: | U12B |
| Team Affiliation of Individual Committing Incident: | Burlingame SC 03B Arsenal FC |
| Incident Summary: | Injury Report. |
| Comments: | Injury Report. No action taken. |
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