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You will need to use the flat end of the tire wrench.
You place the flat end and turn to release the spare.
Now as for getting to the lug nuts. What kind of problem are you having?
You will crank it down from under the back of the truck. There is a small hole in the bumper to the right of the license plate. Counter clockwise lowers it.
How do I remove the hub cap to get to the wheel and lug nuts?
This you will use the flat head of the tire iron as well.
Insert on a side prying it away from the wheel. It will pop from that side. Finish removal by pulling it off.
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The hub cap does not appear to want to come off. I can get the tire iron between it and the flat tire, but it will not pop off.
Does the hubcap have plastic caps over the lugs? If so you will have to loosen them first.
Thanks, XXXXX XXXXX it figured out now, I think.