| Type of Incident: | Injury |
| Match Number: | 9412 |
| Date of Incident: | 2019-10-05 |
| Time of Incident: | 05:00:00 |
| Location of Incident: | El Dorado High School, Placerville |
| Competition: | 2019_SOR_FALL_ |
| Home Team: | Sierra Gold Soccer Club - El Dorado |
| Visiting Team: | Mexico 03B |
| Age Group and Gender: | U17B |
| Team Affiliation of Individual Committing Incident: | Mexico 03B |
| Incident Summary: | Injury Report. |
| Comments: | Injury Report - no action taken. |
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