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| DEVICE | |
| FACILITY NAME | BRECKENRIDGE MINIT MART |
| ADDRESS | 900 E WALKER ST |
| CITY | BRECKENRIDGE |
| STATE | TX |
| ZIP | 76424 |
| COUNTY | STEPHENS |
| REGION | REGION 1 WEST TEXAS REGIONAL OFFICE |
| ACCOUNT NUMBER | 0304905 |
| INSPECTION NUMBER | 0806000454 |
| INSPECTION DATE | 01/13/2009 |
| INSPECTION REASON | ROUTINE |
| INSPECTION RESULT | OUT OF BUSINESS |
| ACTIVITY STATUS | COMPLETE WITH REVIEW |
| DEVICE QTY | |
| FAILED QTY | |
| PASSED QTY | |
| INOPERABLE QTY |
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