| 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: | 2021-11-19 |
| Time of Incident: | 08:45:00 |
| Location of Incident: | Promontory El Dorado Hills |
| Home Team: | unknown |
| Visiting Team: | safety |
| Age Group and Gender: | U13B |
| Team Affiliation of Individual Committing Incident: | unknown |
| Incident Summary: | Match was abandoned due to a potential safety issue in the field lights. |
| Comments: | The result stands as when the game was terminated. No further action taken. |
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