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Just to flash for a few seconds when you start the truck to make you think it does something...
I've been told that it comes on around 60k miles so you would bring the truck in for an emission service. I had a stone dead 02 sensor and it set a code, but the light never came on...
The light isn't connected to anything. My truck had a seized smog pump when I got it, but the light never came on. I have been told it just comes on to remind you to check your smog equipment for wear. Mine usually stays on after my battery has died, and will go off a couple days later.