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Date: 14 August 2004
Summary
Heat 1
| Rank | Name | Nation | Time |
| 1 | Petra Dallmann; Britta Steffen; Daniela Gotz; Antje Buschschulte | GER | 3:41.19 |
| 2 | Alison Sheppard; Kathryn Evans; Karen Pickering; Melanie Marshall | GBR | 3:41.96 |
| 3 | Solenne Figues; Celine Couderc; Aurore Mongel; Malia Metella | FRA | 3:42.42 |
| 4 | Cheng Jiaru; Xu Yanwei; Zhu Yingwen; Yang Yu | CHN | 3:42.84 |
| 5 | Sun So-Eun; Ryu Yoon-Ji; Shim Min-Ji; Kim Hyun-Ju | KOR | 3:44.84 |
| 6 | Cecilia Vianini; Cristina Chiuso; Sara Parise; Federica Pellegrini | ITA | 3:44.88 |
| 7 | Jana Myskova; Petra Klosova; Ilona Hlavackova; Sandra Kazikova | CZE | 3:46.83 |
| 8 | Tatiana Rouba; Ana Belen Palomo; Laura Roca; Melissa Caballero | ESP | 3:47.47 |
| Rank | Name | Nation | Time |
| 1 | Alice Mills; Lisbeth Lenton; Sarah Ryan; Jodie Henry | AUS | 3:38.26 |
| 2 | Amanda Weir; Colleen Lanne; Lindsay Benko; Maritza Correia | USA | 3:39.46 |
| 3 | Inge Dekker; Annabel Kosten; Marleen Veldhuis; Chantal Groot | NED | 3:39.93 |
| 4 | Josefin Lillhage; Cathrin Carlzon; Therese Alshammar; Johanna Sjoeberg | SWE | 3:41.51 |
| 5 | Hanna Shcherba; Maryla Shcherba; Iryna Niafedava; Svetlana Khokhlova | BLR | 3:45.38 |
| 6 | Rebeca Gusmao; Tatiana Lima; Renata Burgos; Flavia Cazziolato | BRA | 3:45.38 |
| 7 | Dominique Diezi; Marjorie Sagne; Seraina Pruente; Nicole Zahnd | SUI | 3:48.61 |
| Disqualified | |||
| Nery Mantey Niangkouara; Zoi Dimoschaki; Martha Matsa; Eleni Kosti | GRE | ||