| Type of Incident: | Otra Razón — No usar cuando un equipo, jugador, técnico o espectador está involucrado.  Usar solamente si el incidente no puede ser clasificado con ninguna de las opciones mencionadas arriba. | 
| Date of Incident: | 2016-10-15 | 
| Time of Incident: | 12:00:00 | 
| Location of Incident: | Pacheco High School | 
| Home Team: | Fuego FC Los Banos | 
| Visiting Team: | Patterson United Patterson Deportivo | 
| Age Group and Gender: | U17B | 
| Team Affiliation of Individual Committing Incident: | Patterson United Patterson Deportivo | 
| Incident Summary: | No players listed on game card. | 
| Comments: | Please refer this to Jason Drury, the Event Coordinator. |