GMC 2002 Savana - Manual (Page 255)

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The ratchet has a DOWN side and an UP side.
Attach the ratchet, with the DOWN side facing you, to
the extension. The extension has a socket end and a flat
chisel end.
Put the flat end of the extension on an angle through the
hole in the rear door frame, above the bumper. Be sure
the flat end connects into the hoist shaft.
Turn the ratchet counterclockwise to lower the spare tire
to the ground. If you are changing a flat rear tire and the
vehicle is already jacked up, use the jack handle and
extension to hook the cable. Then pull the spare from
beneath the vehicle. If the retainer pulls out, hook the
inside of the wheel and pull the spare tire out from under
the vehicle.