There are quite a few stepvans w. 4spd stickshifts at wreckers around the lower mainland/Fraser valley. My first stepvan was a 4spd. It was a Chev 30 all rusted to shit (steel box..BOO! HISSS!) which, after I'd torn most of the box off and rebuilt with wood and vinyl siding, I took treeplanting around Vanderhoof and then Barrier. It originally had a 14' box and did surprisingly well on the logging roads.
One of the oh so beautiful things about stepvans is the ability to work on the engine/tranny in situ, by pulling the huge doghouse and unbolting the floor plates, which also makes it far easier to do a tranny swap to stick. I had to replace the clutch plate on my first stepvan and rigged up a hoist in the cab, which made it soooo damned easy.
Another pretty cool thing buddy showed me was that, just by removing a few bolts, the whole rad w. frame assembly could pivot forward, allowing for easy access to the front of the engine. ..Willy.