I am curious what your engine vacuum is a low altitude. 10k ft is getting up there with air starting to be thinner. You changed just about everything it could be. Yet your issue persists. This is definitely interesting.
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7 3rd gens listed in the build thread (2 are parts mobiles)
Build Thread:
https://www.toyota-4runner.org/3rd-g...os-builds.html
Brillo's Bucket Fluid Ex changer:
https://www.toyota-4runner.org/3rd-g...ml#post3358086
Sparks Plugs Wire and Coil Information:
https://www.toyota-4runner.org/3rd-g...on-5vz-fe.html