| Type of Incident: | Injury |
| Match Number: | 483 |
| Date of Incident: | 2019-11-03 |
| Time of Incident: | 01:25:00 |
| Location of Incident: | Walnut Creek |
| Competition: | 2019_SOR_NPL_ |
| Home Team: | walnut Creek Surf 03B Blue |
| Visiting Team: | Star Academy FC 03B1 |
| Age Group and Gender: | U18B |
| Team Affiliation of Individual Committing Incident: | Star Academy FC 03B1 |
| Incident Summary: | Injury Report |
| Comments: | Injury Report - no action taken |
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