If he's lucky, his truck might have an access hatch cut into the deck like mine did. Then you just need to lower your tank a couple inches and it will come right out through it.
This is the only shot I have handy of the access hatch on mine from when I was putting Monstaliner down in the tub:
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I replaced my sender and gauge because it would read fine down to half a tank then start getting erratic below that. Much better now. I had both my sender and gauge replaced in about an hour. Unfortunately OP, if you don't have that hatch, you will have to fully drop the tank like beckel said. Both sender and gauge are pretty cheap though. I think I picked up a NIB sender for $25 and NIB fuel gauge for $20 off eBay.