| Type of Incident: | Otra Razón — No usar cuando un equipo, jugador, técnico o espectador está involucrado.  Usar solamente si el incidente no puede ser clasificado con ninguna de las opciones mencionadas arriba. | 
| Date of Incident: | 2019-10-27 | 
| Time of Incident: | 07:00:00 | 
| Location of Incident: | Fair Oaks Elementary School | 
| Home Team: | Home | 
| Visiting Team: | Visitor | 
| Age Group and Gender: | U17G | 
| Team Affiliation of Individual Committing Incident: | Home | 
| Incident Summary: | Game terminated due to air quality | 
| Comments: | Please contact the Event Coordinator, this is not a PAD issue. |