| Type of Incident: | Referee |
| Date of Incident: | 2021-03-27 |
| Time of Incident: | 05:00:00 |
| Location of Incident: | Del Campo Park-Carmichael |
| Home Team: | American River FC Freedom 06 Blue |
| Visiting Team: | Vacaville United 06 Girls |
| Age Group and Gender: | U15G |
| Team Affiliation of Individual Committing Incident: | American River FC Freedom 06 Blue |
| Incident Summary: | Need for the club's Referee Assignor to be updated. |
| Comments: | This has been resolved. No action taken. |
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