| Type of Incident: | Injury |
| Match Number: | 484 |
| Date of Incident: | 2016-04-09 |
| Time of Incident: | 03:15:00 |
| Location of Incident: | St. Vincent de Paul HS, Petaluma |
| Competition: | 2016_SOR_NPL_ |
| Home Team: | Marin FC 00 Boys Blue |
| Visiting Team: | SMC Star 99B Academy |
| Age Group and Gender: | U16B |
| Team Affiliation of Individual Committing Incident: | SMC Star 99B Academy |
| Incident Summary: | Injury Report. |
| Comments: | Injury Report - no action taken. |
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