| Type of Incident: | Referee |
| Date of Incident: | 2023-05-19 |
| Time of Incident: | 18:30:00 |
| Location of Incident: | Woodward Park - Woodward Park Field #4 |
| Home Team: | MANTECA FUTBOL CLUB Manteca Futbol Club 10/11G |
| Visiting Team: | Valley Surf Valley Surf 10G Black |
| Age Group and Gender: | U13G |
| Team Affiliation of Individual Committing Incident: | MANTECA FUTBOL CLUB Manteca Futbol Club 10/11G |
| Incident Summary: | Dual referee system used. |
| Comments: | This is not a PAD issue, please file a Game Protest Form using the following link: https://system.gotsport.com/forms/8F8275463. No action taken. |