| Type of Incident: | Injury |
| Date of Incident: | 2016-01-09 |
| Time of Incident: | 01:05:00 |
| Location of Incident: | Monte Vista Chapel Turlock,Ca |
| Home Team: | Turlock tornados u 19 boys |
| Visiting Team: | Placer united under 19 boys |
| Age Group and Gender: | U19B |
| Team Affiliation of Individual Committing Incident: | Turlock tornados u 19 boys |
| Incident Summary: | Injury report. |
| Comments: | Injury report. No action taken. |