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Date: 18 August 2004
Summary
Final 1
| Rank | Name | Nation | Time |
| 1 | Natalie Coughlin; Carly Piper; Dana Vollmer; Kaitlin Sandeno | USA | 7:53.42 |
| 2 | Zhu Yingwen; Xu Yanwei; Yang Yu; Pang Jiaying | CHN | 7:55.97 |
| 3 | Franziska van Almsick; Petra Dallmann; Antje Buschschulte; Hannah Stockbauer | GER | 7:57.35 |
| 4 | Alice Mills; Elka Graham; Shayne Reese; Petria Thomas | AUS | 7:57.40 |
| 5 | Melanie Marshall; Georgina Lee; Caitlin McClatchey; Karen Pickering | GBR | 7:59.11 |
| 6 | Tatiana Rouba; Melissa Caballero; Arantxa Ramos; Erika Villaecija | ESP | 8:02.11 |
| 7 | Joanna Melo; Monique Ferreira; Mariana Brochado; Paula Ribeiro | BRA | 8:05.29 |
| 8 | Josefin Lillhage; Ida Mattsson; Malin Svahnstroem; Lotta Wanberg | SWE | 8:08.34 |