To replace the rear brake shoes on a 1992 Ford E350 with dual wheels, first, safely lift and support the vehicle, then remove the rear wheels. Next, remove the brake drum by sliding it off the hub, which may require tapping it gently if it's stuck. Take out the old brake shoes by removing the hold-down springs and retaining clips, then install the new shoes in reverse order. Finally, reassemble everything, ensuring the drum rotates freely before reinstalling the wheels.
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