Did you figure out high altitude from the stamped in carb ID or?
Was unaware that you could have a CA and HA carb one and the same...figured one was Colorado, one was CA!
Been a long time since I had to mess with one of these. If you move the key to run, without starting it, does the carb click at all? I believe it's supposed to click, thats the MCS working. When my CCC system "failed" (first bad ECM I've ever had) the MCS didn't click. Replaced ECM and the clicking resumed, but I pulled the motor immediately afterwards, so no clue how it would have run. I DO know that I was getting 10MPG on the freeway in a 3500lb car with a 307 and OD, so you can see what kind of MPG you get with the primaries full rich.
Just give the wiring a once-over, see if anything in particular is messed up/disconnected. Check vacuum lines too, you have a MAP sensor.
If it's not something obvious, since the system has been tampered with, it's PROBABLY not worth spending time/money to fix. You'll need a non-CCC Q-jet, and a non-CCC distributor. But if you ever plan on moving, and taking the truck with you (or selling it) to an emissions controlled area, removing it is a bad idea.
Think of it as a TBI system without the injectors.