| Type of Incident: | Game Protest/Forfeit |
| Date of Incident: | 2015-04-11 |
| Time of Incident: | 11:30:00 |
| Location of Incident: | Vineyard Basin Park B Field 1 |
| Home Team: | AC Los Banos Terremotos 2004 |
| Visiting Team: | Fresno Chaos 04 JB |
| Age Group and Gender: | U10B |
| Team Affiliation of Individual Committing Incident: | Fresno Chaos 04 JB |
| Incident Summary: | This report was not filed by the AC Los Banos Director of Coaching or President. |
| Comments: | The PAD Committee only reviews incidents filed by a club's Director of Coaching or President or the referee assigned to officiate the match. As the individual filing this report is not one of those people, the PAD Committee declines to review this incident. |
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