| Type of Incident: | Injury |
| Match Number: | |
| Date of Incident: | 2013-09-08 |
| Time of Incident: | 05:45:00 |
| Location of Incident: | Ygnacio Valley High School, Concord |
| Competition: | 2013_SOR_NPL_ |
| Home Team: | Diablo FC 95 boys |
| Visiting Team: | Juventus SC 94 Premier |
| Age Group and Gender: | U18B |
| Team Affiliation of Individual Committing Incident: | |
| Incident Summary: | Injured Player |
| Comments: | Please contact US Club Soccer if you have any questions |
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