Okay, then we need to confirm fuel pressure and see if it is dropping off and causing the hard start. Here is a link that shows how it is done.
https://www.2carpros.com/articles/how-to-check-fuel-system-pressure-and-regulator
Here are the directions specific to this vehicle. I have a feeling the fuel pressure is low at first when starting and then okay after you get it going. The attached pics correlate with the directions.
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2010 Ford Truck F 150 4WD V8-5.4L Flex Fuel
Fuel System Pressure Test
Vehicle Powertrain Management Fuel Delivery and Air Induction Fuel Pump Fuel Pressure Testing and Inspection Component Tests and General Diagnostics Fuel System Pressure Test
FUEL SYSTEM PRESSURE TEST
310-00 Fuel System †General Information 2010 F-150
GENERAL PROCEDURES
Fuel System Pressure Test
Special Tool(s)
pic 1 Fuel Pressure Test Kit
310-D009 (D95L-7211-A) or equivalent
pic 2 Fuel Pressure T-Adapter 3/8"
310-D252 or equivalent
image WARNING: Do not smoke, carry lighted tobacco or have an open flame of any type when working on or near any fuel-related component. Highly flammable mixtures are always present and may be ignited. Failure to follow these instructions may result in serious personal injury.
image WARNING: Before working on or disconnecting any of the fuel tubes or fuel system components, relieve the fuel system pressure to prevent accidental spraying of fuel. Fuel in the fuel system remains under high pressure, even when the engine is not running. Failure to follow this instruction may result in serious personal injury.
image WARNING: Do not carry personal electronic devices such as cell phones, pagers or audio equipment of any type when working on or near any fuel-related component. Highly flammable mixtures are always present and may be ignited. Failure to follow these instructions may result in serious personal injury.
image WARNING: Always disconnect the battery ground cable at the battery when working on an evaporative emission (EVAP) system or fuel-related component. Highly flammable mixtures are always present and may be ignited. Failure to follow these instructions may result in serious personal injury.
image WARNING: When handling fuel, always observe fuel handling precautions and be prepared in the event of fuel spillage. Spilled fuel may be ignited by hot vehicle components or other ignition sources. Failure to follow these instructions may result in serious personal injury.
pic 3
If servicing a 4.6L (3V) engine, remove the Evaporative Emission (EVAP) purge valve bracket bolt and position the bracket aside.
pic 4
If servicing a 5.4L (3V) engine, remove the air intake resonator assembly bolt and loosen the clamp. Rotate the resonator upward until it stops.
pic 5
NOTE: 4.6L (2V) shown, 4.6L (3V) and 5.4L (3V) similar.
Remove the fuel pressure relief valve cap.
pic 6
NOTE: 4.6L (2V) shown, 4.6L (3V) and 5.4L (3V) similar.
Install the Fuel Pressure Test Kit onto the fuel pressure relief valve.
pic 7
NOTE: It may take more than one key cycle to pressurize the fuel system.
Cycle the ignition key to the on position and wait 3 seconds to pressurize the fuel system. Check for leaks before starting the engine.
Test the fuel system pressure to make sure it is within the specified range. For additional information, refer to Specifications in this section.
NOTE: 4.6L (2V) shown, 4.6L (3V) and 5.4L (3V) similar.
NOTE: Open the drain valve slowly to relieve the fuel system pressure. This may drain fuel from the system. Place the fuel in a suitable container.
Upon completion of the fuel system pressure test, open the drain valve on the Fuel Pressure Test Kit and relieve the fuel system pressure.
pic 8
NOTE: 4.6L (2V) shown, 4.6L (3V) and 5.4L (3V) similar.
Install the pressure relief valve cap.
Tighten to 6 Nm (53 lb-in).
pic 9
If servicing a 4.6L (3V) engine, position the EVAP purge valve into place and install the bracket bolt.
Tighten to 10 Nm (89 lb-in).
pic 10
If servicing a 5.4L (3V) engine, rotate the air intake resonator assembly into position and install the bolt.
Tighten to 10 Nm (89 lb-in).
pic 11
6.2L (2V) engine
Release the fuel system pressure. For additional information, refer to Fuel System Pressure Release in this section.
Disconnect the fuel tube quick connect coupling. For additional information, refer to Quick Connect Coupling in this section.
Install the Fuel Pressure T-Adapter 3/8" and Fuel Pressure Test Kit in line between the fuel supply line and fuel rail.
pic 12
NOTE: The Fuel Pump Control Module (FPCM) electrical connector was disconnected during the fuel system pressure release and must be reconnected to complete the Fuel System Pressure Test.
Connect the Fuel Pump Control Module (FPCM) electrical connector.
Connect the battery ground cable. For additional information, refer to Section 414-01 .
NOTE: It may take more than one key cycle to pressurize the fuel system.
Cycle the ignition key and wait 3 seconds to pressurize the fuel system. Check for leaks before starting the engine.
Test the fuel system pressure to make sure it is within the specified range. For additional information, refer to Specifications in this section.
NOTE: Open the drain valve slowly to relieve the fuel system pressure. This may drain fuel from the system. Place the fuel in a suitable container.
Upon completion of the fuel system pressure test, open the drain valve on the Fuel Pressure Test Kit and relieve the fuel system pressure.
All engines
NOTE: It may take more than one key cycle to pressurize the fuel system.
Cycle the ignition key to the ON position and wait 3 seconds to pressurize the fuel system. Check for leaks before starting the engine.
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Pay attention to fuel pressure drop off. That is when you turn the key off. I would recommend doing this when the engine is cold and will have the conditions indicated.
Let me know if this helps or if you have other questions.
Joe
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Friday, February 28th, 2020 AT 1:59 PM