| Type of Incident: | Game Protest/Forfeit |
| Match Number: | 12011 |
| Date of Incident: | 2022-11-12 |
| Time of Incident: | 12:30:00 |
| Location of Incident: | Oasis Park south, Elk Grove, CA |
| Competition: | 2022_SOR_FALL_ |
| Home Team: | Blackhawks SC 06B AV |
| Visiting Team: | Blaugranas 06B |
| Age Group and Gender: | U17B |
| Team Affiliation of Individual Committing Incident: | Blaugranas 06B |
| Incident Summary: | Please see Incident 4733. |
| Comments: | Please see Incident 4733. |
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