Re: 1999 K1500 Suburban Mis-fire
Fuel pressure should be 60-66(KOEO) for the OLD STYLE spider injector.
Fuel pressure should be 55-62(KOEO) for the NEW STYLE spider injector.
58 is within the spec for the new style injector, but check fuel pressure without the engine running.
An external coolant leak shouldn't cause a misfire.
Fuel pressure regulators do leak, but it will run bad all the time, be very hard to start(flooded), and cylinders 3 and 5 spark plugs will be black.
Pinching the return line will test for a weak pump. Its called a "dead head" test. It will not test the regulator. I don't think its necessary on your truck.
I don't think you have a fuel issue.
Most likely you have an ignition issue(distributor caps are very common), or sticking valve guides.(There is a TSB for misfire while towing on accelerating uphill)
Ask a mod to move this to the 88-98 section(since your truck is a GMT400), where it belongs.
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