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Start your truck cold. If a lot of white smoke blows out that is a slight indication, but not always. Pull out your spark plugs on the side you think you have blown and see if water pours out, if water comes out from the spark plug hole, then yes. You've blown a head gasket.

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Q: How do you know if you need to replace a head gasket on a 1998 Chevy s10?
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