| Type of Incident: | Field |
| Match Number: | |
| Date of Incident: | 2012-12-02 |
| Time of Incident: | 09:30:00 |
| Location of Incident: | Franklin Field - Burlingame |
| Competition: | 2012_SOR_NCSC_ |
| Home Team: | Burlingame SC Tornados |
| Visiting Team: | Atletico Santa Rosa Barcelona |
| Age Group and Gender: | U12B |
| Team Affiliation of Individual Committing Incident: | |
| Incident Summary: | Rescheduled State Cup Game |
| Comments: | Incident was handled by the U11-13 NorCal State Cup Coordinator. PAD has dropped the incident. |
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