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There are ways to do the job with out removing the cab of the truck but its hard to do. One method is to remove the existing bolts, the rear ones will not be able to come all the way out, remove the heads, install new gaskets, put the rear studs through the head (with required lube, etc), hand tighten all of them in, the torque away...
There is a posting somewhere with some pics or at least a much better explanation. I am going to do mine and have not determined if I should pull the cab or not yet. The problem is once you get the heads off, if you can't get the studs back in you wasted a munch of time and have to pull the cab anyway....
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