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Nothing holds it. The system pressure should eventually leak down but if everything is sealed properly, it takes a day or more to reach absolute zero pressure. The pump primes the system when the key is turned to the "ON" position to compensate for any leak-down since the last time the truck was run. I am making a rather broad assumption that the truck in question is fuel injected.
If your pressure bleeds off almost immediately, it's most likely your fuel pump. If that's the case the engine may be difficult to start after setting for awhile. I had to crank mine two to three times to start. After changing the FP everything worked fine.
Here's what I did to prove my fuel pump was bad:
1) Turn the key to 'RUN' (Don't start) Let the fuel pump run until it stops.
2) Turn key to 'OFF'
3) Repeat step 1 and 2
4) Repeat Step 1
5) Start engine.
If your FP is weak it will take a few runs to build the needed pressure.
It may also be bad but I doubt it's responsible for maintaining rail since it's job is to regulate the pressure flowing the other direction. As for mine, once I replaced my pump, the regulator showed twice the nomal pressure so it had to be replaced as well.
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