| Type of Incident: | Injury |
| Date of Incident: | 2017-10-15 |
| Time of Incident: | 10:40:00 |
| Location of Incident: | 9594 Kiefer Blvd, Sacramento, CA 95827 |
| Home Team: | UNION SACRAMENTO FC 01B NPL |
| Visiting Team: | FUEGO FC LIVINGSTON FUEGO 01 |
| Age Group and Gender: | U17B |
| Team Affiliation of Individual Committing Incident: | FUEGO FC LIVINGSTON FUEGO 01 |
| Incident Summary: | Injury Report. |
| Comments: | Injury Report - no action taken |