| Type of Incident: | Injury |
| Match Number: | 619 |
| Date of Incident: | 2016-10-01 |
| Time of Incident: | 10:10:00 |
| Location of Incident: | Larchmont Park #1, Sacramento, CA |
| Competition: | 2016_SOR_NCSC_ |
| Home Team: | Union FC Grey |
| Visiting Team: | Monarcas Academy Red |
| Age Group and Gender: | U15B |
| Team Affiliation of Individual Committing Incident: | Union FC Grey |
| Incident Summary: | Injury Report |
| Comments: | Injury Report - no action taken. |
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