| 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: | 2024-03-09 |
| Time of Incident: | 16:30:00 |
| Location of Incident: | 1850 sparrowhawk street Manteca ca |
| Home Team: | Referee |
| Visiting Team: | Manteca Area SL |
| Age Group and Gender: | U15B |
| Team Affiliation of Individual Committing Incident: | Referee |
| Incident Summary: | Allegation that the referee failed to stop play after the goalkeeper was injured leading to a goal. |
| Comments: | This is not a PAD issue. Please direct any comments regarding the officiating to the assignor for the home team. The PAD Committee hopes the goal has recovered from his injury. |
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