I spoke with the tech. He explained that once the truck warms up, the computer takes over and probably just shuts cylinder #1 off. The fuel may still be sent into that cylinder and that is why the cylinder is so clean compared to the others. During warm up, the computer is in a different mode and therefor the truck runs like crap.
I have been reading up on parts and the process of replacing the lifters and cam. Doesn't seem to be to difficult of a job. Parts alone from the dealer are about $900 which is what I had originally budgeted for. So It looks like I'll be tackling this project after the new year when I have more time on my hands.
Any experience or help that you guys can kick down would be much appreciated.
Tech told me that the truck would only get worse and could cause other problems so I will need to take care of it before it does.