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The valve stem hole on the wheels are not dead center. The tube stem is. So it will flex and probably pull the rubber at the stem loose. You would also need a really wide flap. Guess its possible if you found tubes with an offset. Other than then that the big warning on the wheel saying not to...

Wont work with the wheel

Yes. Even a bald tire that holds air is better than a flat tire with a hole in the sidewall

https://drive.google.com/file/d/0B6eMUXVdk3G0V3VsNk1sMnc3WVk/view?usp=drivesdk

You only need one spare on a wheel really. If you screw up 2 wheels then you have issues anyways. You can use a + strap and secure a tire without a wheel to the one on a wheel on the truck. Or strap it to the roof. One not on a wheel is not heavy and it would not be any taller than an ac unit...

The composite runflats can be found for around $50 each and are simple to install not to mention alot lighter than rubber ones. Carry two spares. Plug and patch unit or vulcanizing plug gun as well. Even if you limp back to safety 395s arent common everywhere to just pick one up.