| Type of Incident: | Referee |
| Date of Incident: | 2022-03-27 |
| Time of Incident: | 02:20:00 |
| Location of Incident: | Gabe Catalfo West Soccer Field |
| Home Team: | San Pablo Academia 04 |
| Visiting Team: | Central California SA2003/04B BLACK |
| Age Group and Gender: | U19B |
| Team Affiliation of Individual Committing Incident: | Central California SA2003/04B BLACK |
| Incident Summary: | It appears this should have been filed as a Send-off Report. |
| Comments: | If a player was send-off, please file a Send-off Report filed by the referee of the match, not a PAD Incident Report. |
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