If you do the epic quest following the actual epic quest, you end up ally to Truespirit before this step, but not max ally. Turning in the tear to lord rak gives you another faction hit that you'd require in order to successfully turn the scales in to get your epic.
If you're doing the faction grind by alternative methods, get max ally before turning in the child's tear because having more faction than you require guarantees a successful turn in.
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<Aftermath>
Nephrofl Copter: 60 Shaman
Nephenc: 60 Enchanter
Durber: 52 Rogue
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