| Type of Incident: | Injury |
| Date of Incident: | 2016-04-30 |
| Time of Incident: | 01:40:00 |
| Location of Incident: | Mary Grogan Park Field #1, Modesto, CA |
| Home Team: | EC Real Salinas Galaxy |
| Visiting Team: | Athletico Santa Rosa Chivitas |
| Age Group and Gender: | U14B |
| Team Affiliation of Individual Committing Incident: | Athletico Santa Rosa Chivitas |
| Incident Summary: | Injury report |
| Comments: | Injury report, no action taken. |
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