| Type of Incident: | Referee |
| Date of Incident: | 2016-05-22 |
| Time of Incident: | 03:00:00 |
| Location of Incident: | Madera south high school #1 |
| Home Team: | Central Valley vipers 99B |
| Visiting Team: | Atwater earthquakes |
| Age Group and Gender: | U14B |
| Team Affiliation of Individual Committing Incident: | Central Valley vipers 99B |
| Incident Summary: | Match was played without licensed referees. |
| Comments: | Because this match was played without 3 licensed referees, the match is declared a 3-0 forfeit in favor of Atwater. Per the directive of the NorCal Board of Directors, Central Valley is referred to the Board for further discipline. |
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