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Date: 21 August 2004
Summary
Final 1
| Rank | Name | Nation | Time |
| 1 | Giaan Rooney; Leisel Jones; Petria Thomas; Jodie Henry | AUS | 3:57.32 |
| 2 | Natalie Coughlin; Amanda Beard; Jenny Thompson; Kara Lynn Joyce | USA | 3:59.12 |
| 3 | Antje Buschschulte; Sarah Poewe; Franziska van Almsick; Daniela Gotz | GER | 4:00.72 |
| 4 | Chen Xiujun; Luo Xuejuan; Zhou Yafei; Zhu Yingwen | CHN | 4:03.35 |
| 5 | Reiko Nakamura; Masami Tanaka; Junko Onishi; Tomoko Nagai | JPN | 4:04.83 |
| 6 | Stefanie Luiken; Madelon Baans; Inge de Bruijn; Marleen Veldhuis | NED | 4:07.36 |
| 7 | Nina Zhivanevskaya; Sara Perez; Maria Pelaez; Tatiana Rouba | ESP | 4:07.61 |
| Disqualified | |||
| Katy Sexton; Kirsty Balfour; Georgina Lee; Kathryn Evans | GBR | ||