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How many miles on the truck, original headgasket, good oil pressure before you opened it up, got a sound clip of the knock-slap???
how about poor choice in oil filters? I too often see large aftermarket filters that have no check valves installed on these motors.
On start up the oil pump has to pump enough oil to fill the filter and the passages in the block before maintaining pressure. So basically a delay in pressure during the high idle period on initial start up.
I've changed over a few trucks to the small OEM filter and have seen the start up knock reduced or completely eliminated afterwards.
What might it have cost to complete the work on that engine and stuff it back in?