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Date: 20 August 2004
Summary
Heat 1
| Rank | Name | Nation | Time |
| 1 | Haley Cope; Tara Kirk; Rachel Komisarz; Amanda Weir | USA | 4:02.82 |
| 2 | Antje Buschschulte; Sarah Poewe; Franziska van Almsick; Daniela Gotz | GER | 4:04.16 |
| 3 | Noriko Inada; Masami Tanaka; Junko Onishi; Tomoko Nagai | JPN | 4:05.99 |
| 4 | Louise Oernstedt; Majken Thorup; Mette Jacobsen; Jeanette Ottesen | DEN | 4:08.89 |
| 5 | Kateryna Zubkova; Svitlana Bondarenko; Yana Klochkova; Olga Mukomol | UKR | 4:09.79 |
| 6 | Hannah McLean; Annabelle Carey; Elizabeth Coster; Alison Fitch | NZL | 4:10.37 |
| 7 | Dominique Diezi; Carmela Schlegel; Carla Stampfli; Nicole Zahnd | SUI | 4:15.54 |
| Disqualified | |||
| Alessandra Cappa; Chiara Boggiatto; Ambra Migliori; Federica Pellegrini | ITA | ||
| Rank | Name | Nation | Time |
| 1 | Giaan Rooney; Brooke Hanson; Jess Schipper; Alice Mills | AUS | 4:01.17 |
| 2 | Sarah Price; Kirsty Balfour; Georgina Lee; Melanie Marshall | GBR | 4:05.63 |
| 3 | Zhan Shu; Qi Hui; Zhou Yafei; Zhu Yingwen | CHN | 4:05.97 |
| 4 | Nina Zhivanevskaya; Sara Perez; Maria Pelaez; Tatiana Rouba | ESP | 4:06.90 |
| 5 | Stefanie Luiken; Madelon Baans; Chantal Groot; Marleen Veldhuis | NED | 4:08.72 |
| 6 | Erin Gammel; Lauren van Oosten; Jennifer Fratesi; Brittany Reimer | CAN | 4:09.84 |
| 7 | Oxana Verevka; Elena Bogomazova; Natalia Soutiaguina; Natalia Shalagina | RUS | 4:10.18 |
| 8 | Alexandra Putra; Laurie Thomassin; Aurore Mongel; Malia Metella | FRA | 4:11.42 |