With over 25 years experience and 80+ vehicles, I have learned to either service my automobiles myself or go to a specific service, ie; Jiffy lube, Wal-Mart, etc. Going to the dealership for service,(outside of major warranty work) has almost always lead to more problems.
You are outside of the standard 36,000 warranty period. Your 40,000+ miles of trouble free service is probably directly related to not having the Hummer dealership service your H2.
I would highly suggest replacement of your tires. At 40,000 miles you have got $$$ worth. I'm assumming that the cost vs. safety is not an issue for you and most all H2 owners.
I don't carry the spare at all, even when traveling cross country, which I have done several times. Outside of a complete blowout, spare air and a basic tire repair kit could take care of most tire failures. Provided that you have tires in good to excellent condition.
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