| Type of Incident: | Other — Do not use if a team, player, coach, or spectator is involved. Use only if the incident cannot be classified as any other Type of Incident above. |
| Date of Incident: | 2023-10-21 |
| Time of Incident: | 19:45:00 |
| Location of Incident: | Elk Grove |
| Home Team: | Referee |
| Visiting Team: | 05 boys EA |
| Age Group and Gender: | U19B |
| Team Affiliation of Individual Committing Incident: | Referee |
| Incident Summary: | The referee in the match was unlicensed. |
| Comments: | The send-off of the Diablo Valley player, Vinicius Periera, is rescinded as the referee for the match was unlicensed. |
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