Shadowmeph, make sure you have the latest version of RivaTuner. The best to use with the 38x0 Radeons is v2.08 or newer.
Then see this for manual fan control:
I think it was on the dev's forum that they were talking about the HD3850/3870 BIOS issues and how to setup RivaTuner's registry editor(in the PowerUser tab) to keep the fan speed at basically a 1:1 ratio with the GPU temp. I have mine setup like this and it works well.
I can't remember the max I see with this stock single slot cooler but it is not even close to the max I was getting before and keeps my cooler quieter than if I was manually setting fan speeds or going up in 5-10% steps.
*Edit
Oh! Oh!
Does that board have any jmicron PATA hardware on it?(I can't quite remember). If so, do you have any PATA drives connected to it?
If you said yes to the above uninstall the jmicron drivers for the PATA controller, windows has better ones that eliminated the audio issues on my P5K with jmicron crap on it. Even if you don't have any PATA drives I personally would be keen on uninstalling the jmicron PATA drivers anyway. :P