Finally had time to finish this for my neighbor today.
I ordered a new Y pipe, new flange bolts, and a clamp. Cut off the old pipe and attached it to the new Y pipe with a clamp that bolted down and wrapped around the pipe. Used some muffler / tailpipe sealer on the pipe where the clamp went. It should last the rest of the life of the truck I would think.
I can’t believe the hack job that the shop did to “fix” his exhaust back in February. Since the flange was gone, they cobbled 4 exhaust clamps together around the pipe to hold it up to the manifold. Worst is they charged him $200 to do that….
At least it is fixed properly now and the O2 sensor is also replaced.