| Type of Incident: | Injury |
| Match Number: | 0 |
| Date of Incident: | 2017-06-12 |
| Time of Incident: | 10:00:00 |
| Location of Incident: | Davis |
| Competition: | 2017_SOR_NPL_ |
| Home Team: | Marin 99 Blue |
| Visiting Team: | Folsom Lake Earthquakes |
| Age Group and Gender: | U19B |
| Team Affiliation of Individual Committing Incident: | Marin 99 Blue |
| Incident Summary: | This is not a NorCal game. |
| Comments: | PAD Committee does not have jurisdiction over USClub Regional games. No action taken. |
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