Right now I have the side panel off and a small house fan pointed in the case (same fan as this
http://img16.imageshack.us/img16/1656/1000446.png ,that one on the front is also running). Tried running Furmark again (with the xtreme burn test option) with the fan speed set to 100% but when it hits 70*c it reverts back to the auto fan control and goes down to 35%. Once it gets up to 80*c the fan speed stays at 75%. Right now the ambient temp (right next to the case using a digital thermometer) is 75.6*F.
Thanks for the heat sink links. The accelero won't work for me because the sata sockets are right above where the gpu is now and anything higher won't fit. I can't use 90 degree sata cables either because the IDE socket is right next to them. The coolviva should fit though since it is either out of the way of where the sata cables would be. The Akasa should fit too if it isn't any taller than the stock heat sink. I might wait when it gets cooler (I'm in the basement so it gets pretty cool down here in the winter) and see what I get then before buying a new heat sink. Those two will definitely be what I look at if I find out it still runs warm (plus I'm going back and forth with the idea of building a new system soon so saving money is a good thing. My card also never gets as stressed at furmark makes it, I normally never see it go above 65*C).