NorCal Incident Reporting

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Incidents

Type of Incident:Injury
Date of Incident:2013-12-15
Time of Incident:03:15:00
Location of Incident:Chaboya Middle School Large (3276 Cortona Dr San Jose, CA 95
Home Team:Evergreen United Earthquakes - 01B Blue
Visiting Team:SASC Fury 01 White
Age Group and Gender:U12B
Team Affiliation of Individual Committing Incident:
Incident Summary:TBD
Comments:Evergreen referee coordinator was informed of the concerns and a send off report was also filed and PAD made a ruling on one sent off report that was submitted.