| Type of Incident: | Lastimadura |
| Número de Partido: | 3557 |
| Date of Incident: | 2023-10-01 |
| Time of Incident: | 16:00:00 |
| Location of Incident: | Buchanan High School |
| Competition: | Copa Estatal de NorCal del 2023 |
| Home Team: | Player |
| Visiting Team: | N/A |
| Age Group and Gender: | U17B |
| Team Affiliation of Individual Committing Incident: | Player |
| Incident Summary: | Injury Report |
| Comments: | Injury Report - no action taken. |
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