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Date: 21 August 2004
Summary
Final 1
| Rank | Name | Nation | Time |
| 1 | Aaron Peirsol; Brendan Hansen; Ian Crocker; Jason Lezak | USA | 3:30.68 |
| 2 | Steffen Driesen; Jens Kruppa; Thomas Rupprath; Lars Conrad | GER | 3:33.62 |
| 3 | Tomomi Morita; Kosuke Kitajima; Takashi Yamamoto; Yoshihiro Okumura | JPN | 3:35.22 |
| 4 | Arkady Vyatchanin; Roman Sludnov; Igor Marchenko; Alexander Popov | RUS | 3:35.91 |
| 5 | Simon Dufour; Hugues Duboscq; Franck Esposito; Frederick Bousquet | FRA | 3:36.57 |
| 6 | Pavlo Illichov; Oleg Lisogor; Andriy Serdinov; Yuriy Yegoshin | UKR | 3:36.87 |
| 7 | Laszlo Cseh; Richard Bodor; Zsolt Gaspar; Attila Zubor | HUN | 3:37.46 |
| 8 | Gregor Tait; James Gibson; James Hickman; Matthew Kidd | GBR | 3:37.77 |